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Spontaneous and Early Fracture of Hemodialysis Catheter leading to Embolization and Endovascular Emergency
並列摘要
Hemodialysis through a central venous catheter (CVC) is advised to be used only in acute renal failure setting and as temporary bridging access for patients awaiting arterio-venous fistula. However, it is not uncommon to even patients with end stage renal disease (ESRD), to have their hemodialysis done through temporary CVC for long duration without any attempt to have permanent access. Complications are not uncommon with such lines. Commonly encountered complications are infection, thrombosis, haemorrhage, arterio-venous malformation, and pseudoaneurysm etc. Among the uncommon complications, migration of fractured CVC, migration of guide wire, fracture of the tip of catheter with embolization etc are described. We report an early fracture (on 3^(rd) day) of a femoral venous catheter and embolization leading to an emergency in a 44 year old woman with ESRD which was successfully retrieved by endovascular intervention.
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