{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:50:37Z","timestamp":1782384637451,"version":"3.54.5"},"reference-count":11,"publisher":"Scientific Foundation Spiroski (publications)","issue":"1","license":[{"start":{"date-parts":[[2019,1,11]],"date-time":"2019-01-11T00:00:00Z","timestamp":1547164800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Open Access Maced J Med Sci"],"abstract":"<jats:p>BACKGROUND: Intravascular fractured fragment of double lumen catheter with embolisation is a serious and rare complication. Another serious complication includes infection, thrombosis, arrhythmias, and pulmonary embolism. We report a successful surgical venous cut-down technique in the retrieval of an intravascular fractured fragment of tunnelled double lumen catheter in a hemodialysis patient.\r\nCASE REPORT: A 51-year-old female underwent hemodialysis through a tunnelled double lumen catheter and had her arterio-venous graft matured. During retrieval of tunnelled double lumen catheter procedure, the distal part of the catheter was fractured and slipped into the internal jugular vein. Chest radiograph revealed intravascular double lumen catheter extending from the distal part of the right internal jugular vein to right atrium. The procedure of foreign body retrieval was done the next day under general anaesthesia and C-Arm guidance using right internal jugular venous cut-down approach. A right-angle clamp was used to retrieve the fragment without any post-procedure complications.\r\nCONCLUSION: Intravascular fractured fragment of double lumen catheter is a dangerous situation as are all the intravascular foreign bodies. The choices of the technique for retrieval of the fractured fragment are varied. It depends on the type and site of a fractured fragment as well as the surgeon experiences.<\/jats:p>","DOI":"10.3889\/oamjms.2019.025","type":"journal-article","created":{"date-parts":[[2019,1,12]],"date-time":"2019-01-12T14:53:21Z","timestamp":1547304801000},"page":"124-126","source":"Crossref","is-referenced-by-count":4,"title":["Retrieval of Intravascular Fractured Fragment of Tunnelled Double Lumen Catheter in Hemodialysis Patient"],"prefix":"10.3889","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3945-0802","authenticated-orcid":false,"given":"I Nyoman","family":"Semadi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heru Sutanto","family":"Koerniawan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1000-1691","authenticated-orcid":false,"given":"Hendry","family":"Irawan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"52292","published-online":{"date-parts":[[2019,1,11]]},"reference":[{"key":"61434","doi-asserted-by":"crossref","unstructured":"Carroll MI, Ahanchi SS, Kim JH, Panneton JM. Endovascular foreign body retrieval. J Vasc Surg. 2013; 57:459-63. https:\/\/doi.org\/10.1016\/j.jvs.2012.01.092 PMid:23069073","DOI":"10.1016\/j.jvs.2012.01.092"},{"key":"61435","doi-asserted-by":"crossref","unstructured":"Fischer RA. Danger: Beware of unretrieved device fragments. Nursing. 2007; 37:17. https:\/\/doi.org\/10.1097\/01.NURSE.0000298180.71588.13 PMid:17968245","DOI":"10.1097\/01.NURSE.0000298180.71588.13"},{"key":"61436","unstructured":"Ghaderian M, Sabri MR, Ahmadi AR. Percutaneous retrieval of an intracardiac central venous port fragment using snare with triple loops. J Res Med Sci. 2015; 20:97-9. PMid:25767529 PMCid:PMC4354073"},{"key":"61437","doi-asserted-by":"crossref","unstructured":"Hu CC, Lin SC, Huang PH, Tseng SS, Tarng DC. A lady with a broken hemodialysis catheter fragment. Nephrol Dial Transplant. 2002; 17:1126-8. https:\/\/doi.org\/10.1093\/ndt\/17.6.1126","DOI":"10.1093\/ndt\/17.6.1126"},{"key":"61438","doi-asserted-by":"crossref","unstructured":"Surov A, Buerke M, John E, K\u00c3\u00b6sling S, Spielmann RP, Behrmann C. Intravenous Port Catheter Embolization: Mechanism, Clinical Features, and Management. Angiology. 2008; 59:90-7. https:\/\/doi.org\/10.1177\/0003319707303883 PMid:18319228","DOI":"10.1177\/0003319707303883"},{"key":"61439","doi-asserted-by":"crossref","unstructured":"Park SK, Yi IK, Lee JH, Kim DH, Lee SY. Fracture of J-tipped guidewire during central venous catheterization and its successful removal under fluoroscopic guidance -A case report-. Korean J Anesthesiol. 2012; 63:457-60. https:\/\/doi.org\/10.4097\/kjae.2012.63.5.457 PMid:23198042 PMCid:PMC3506858","DOI":"10.4097\/kjae.2012.63.5.457"},{"key":"61440","doi-asserted-by":"crossref","unstructured":"Cahill AM, Ballah D, Hernandez P, Fontalvo L. Percutaneous retrieval of intravascular venous foreign bodies in children. Pediatr Radiol. 2012; 42:24-31. https:\/\/doi.org\/10.1007\/s00247-011-2150-z PMid:22179682","DOI":"10.1007\/s00247-011-2150-z"},{"key":"61441","doi-asserted-by":"crossref","unstructured":"Singh A, Kaur A, Singh M, Kaur S. CT Guided Removal of Iatrogenic Foreign Body: A Broken Intravenous Cannula. J Clin Diagn Res. 2015; 9:PD28-9. https:\/\/doi.org\/10.7860\/JCDR\/2015\/14344.6549","DOI":"10.7860\/JCDR\/2015\/14344.6549"},{"key":"61442","unstructured":"Cheung E, Baerlocher MO, Asch M, Myers A. Venous access: a practical review for 2009. Can Fam Physician. 2009; 55:494-6. PMid:19439704 PMCid:PMC2682308"},{"key":"61443","doi-asserted-by":"crossref","unstructured":"Liu H, Juan Y-H, Wang Q, Lin Y-C, Liang C, Zhang X, et al. Foreign body venous transmigration to the heart. QJM. 2014; 107:743-5. https:\/\/doi.org\/10.1093\/qjmed\/hcu052 PMid:24623859","DOI":"10.1093\/qjmed\/hcu052"},{"key":"61444","doi-asserted-by":"crossref","unstructured":"Agarwal A, Quraishi MB, Mufti OI. Retained Nail in the Heart. J Am Coll Cardiol. 2012; 60:75. https:\/\/doi.org\/10.1016\/j.jacc.2011.11.075 PMid:22742404","DOI":"10.1016\/j.jacc.2011.11.075"}],"container-title":["Open Access Macedonian Journal of Medical Sciences"],"original-title":[],"link":[{"URL":"https:\/\/oamjms.eu\/index.php\/mjms\/article\/download\/oamjms.2019.025\/2747","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/oamjms.eu\/index.php\/mjms\/article\/download\/oamjms.2019.025\/2791","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T08:48:12Z","timestamp":1692521292000},"score":1,"resource":{"primary":{"URL":"https:\/\/oamjms.eu\/index.php\/mjms\/article\/view\/oamjms.2019.025"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,11]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2019,1,15]]}},"URL":"https:\/\/doi.org\/10.3889\/oamjms.2019.025","relation":{},"ISSN":["1857-9655"],"issn-type":[{"value":"1857-9655","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1,11]]}}}