eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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1/2015
vol. 11
 
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Catheter inside the right heart for 22 years: to intervene or not to intervene?

Tolga Çimen
,
Mehmet Doğan
,
Ahmet Akyel
,
Ekrem Yeter

Postep Kardiol Inter 2015; 11, 1 (39): 62–63
DOI: https://doi.org/10.5114/pwki.2015.49189
Online publish date: 2015/03/06
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Treatment of a central venous catheter emboli that has been asymptomatic for a number of years is controversial. A 56-year-old male patient who had an operation for sinus Valsalva aneurism rupture 22 years ago was referred to cardiology department for routine control. He had a mass inside the right heart on echocardiographic examination, and computed tomography revealed that this mass was an embolic piece of catheter. Catheters that have stayed inside the heart for a long time are removed due to the risk of distal embolisation and endocarditis, but the risk of removal is not known. Non-invasive follow-up of asymptomatic patients is often preferred because of the stabilisation of the embolised catheter due to endothelisation and the risk of complications during removal. Treatment of patients with catheter-piece emboli who are asymptomatic should be individualised, taking into account the risk of thrombosis, arrhythmia, and infection.
keywords:

central venous catheter, catheter embolus
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