{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T21:33:01Z","timestamp":1767648781771},"reference-count":8,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Among some of the known complications, breakage of epidural catheter, though is extremely rare, is a well-established entity. Visualization of retained catheter is difficult even with current radiological imaging techniques, and active surgical intervention might be necessary for removal of catheter fragment. We report such a case of breakage of an epidural catheter during its insertion which led to surgical intervention.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 52-year-old, an 18G radiopaque epidural catheter was inserted through an 18G Tuohy needle into the epidural space at T8-T9 interspace in left lateral position. Resistance was encountered. While the catheter was being removed with gentle traction along with Tuohy needle, it sheared off at 12 cm mark. After informing the operating surgeon and the patient, immediately an magnetic resonance imaging and computed tomography (CT) scan were done. CT scan with sagittal and coronal reconstruction was done. Epidural catheter was visualized at D9 lamina-spinous process junction who was removed by surgical intervention.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Leaving of epidural catheter puts the anesthetist in a dilemma. To evade such an event, it is important to stick to the traditional guiding principle for epidural insertion and removal. In spite of safety measures, if event occurs, the patient should be informed about it. Surgery is reserved for symptomatic patients or asymptomatic patients to avoid future complications.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_745_2020","type":"journal-article","created":{"date-parts":[[2021,3,30]],"date-time":"2021-03-30T07:16:02Z","timestamp":1617088562000},"page":"129","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Incidental unintentional breakage of epidural catheter in supralaminar area: A case report"],"prefix":"10.25259","volume":"12","author":[{"given":"Arth","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Ortho-Spine Surgery Sir Ganga Ram Hospital, New Delhi, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nitin","family":"Adsul","sequence":"additional","affiliation":[{"name":"Department of Ortho-Spine Surgery Sir Ganga Ram Hospital, New Delhi, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shvet","family":"Mahajan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Sir Ganga Ram Hospital, New Delhi, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. S.","family":"Chahal","sequence":"additional","affiliation":[{"name":"Department of Ortho-Spine Surgery Sir Ganga Ram Hospital, New Delhi, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. L.","family":"Kalra","sequence":"additional","affiliation":[{"name":"Department of Ortho-Spine Surgery Sir Ganga Ram Hospital, New Delhi, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shankar","family":"Acharya","sequence":"additional","affiliation":[{"name":"Department of Ortho-Spine Surgery Sir Ganga Ram Hospital, New Delhi, India."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,3,30]]},"reference":[{"key":"10.25259\/SNI_745_2020\/ref-1","doi-asserted-by":"crossref","first-page":"1567","DOI":"10.1097\/00000542-199712000-00036","article-title":"Radicular pain due to a retained fragment of epidural catheter","volume":"87","author":"Blanchard","year":"1997","journal-title":"Anesthesiology"},{"key":"10.25259\/SNI_745_2020\/ref-2","first-page":"227","article-title":"Breakage of epidural catheters: Etiology, prevention, and management","volume":"58","author":"de Souza Hobaika","year":"2008","journal-title":"Rev Bras Anestesiol"},{"key":"10.25259\/SNI_745_2020\/ref-3","doi-asserted-by":"crossref","first-page":"228","DOI":"10.4103\/1658-354X.203029","article-title":"Successful management of a broken epidural catheter!!!","volume":"11","author":"Hippalgaonkar","year":"2017","journal-title":"Saudi J Anaesth"},{"key":"10.25259\/SNI_745_2020\/ref-4","doi-asserted-by":"crossref","first-page":"569","DOI":"10.4097\/kjae.2010.58.6.569","article-title":"Breakage of a thoracic epidural catheter during its removal-a case report","volume":"58","author":"Lee","year":"2010","journal-title":"Korean J Anesthesiol"},{"key":"10.25259\/SNI_745_2020\/ref-5","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1016\/j.jclinane.2006.11.005","article-title":"Management of the sheared epidural catheter: Is surgical extraction really necessary?","volume":"19","author":"Mitra","year":"2007","journal-title":"J Clin Anesth"},{"key":"10.25259\/SNI_745_2020\/ref-6","first-page":"434","article-title":"Epidural catheter breakage: A dilemma","volume":"51","author":"Pant","year":"2007","journal-title":"Indian J Anaesth"},{"key":"10.25259\/SNI_745_2020\/ref-7","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1097\/00000542-199511000-00027","article-title":"Lumbar stenosis complicating retained epidural catheter tip","volume":"83","author":"Staats","year":"1995","journal-title":"Anesthesiology"},{"key":"10.25259\/SNI_745_2020\/ref-8","doi-asserted-by":"crossref","first-page":"1087","DOI":"10.1213\/00000539-200210000-00055","article-title":"The breaking of an intrathecally-placed epidural catheter during extraction","volume":"95","author":"Ugboma","year":"2002","journal-title":"Anesth Analg"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/incidental-unintentional-breakage-of-epidural-catheter-in-supralaminar-area-a-case-report","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/incidental-unintentional-breakage-of-epidural-catheter-in-supralaminar-area-a-case-report","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T08:07:48Z","timestamp":1643184468000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/incidental-unintentional-breakage-of-epidural-catheter-in-supralaminar-area-a-case-report"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,30]]},"references-count":8,"alternative-id":["10.25259\/SNI_745_2020"],"URL":"https:\/\/doi.org\/10.25259\/sni_745_2020","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,30]]},"article-number":"129"}}