Massardier C, Perron J, Chetaille P, Côté JM, Drolet C, Houde C, Vaujois L, Naccache L, Michon B, Jacques F. Right atrial catheter "ghost" removal by cardiac
surgery: A pediatric case series report.
Pediatr Blood Cancer 2020;
67:e28197. [PMID:
32207557 DOI:
10.1002/pbc.28197]
[Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2019] [Revised: 12/29/2019] [Accepted: 01/14/2020] [Indexed: 01/02/2023]
Abstract
Fibrin sheath formation around long-term indwelling central venous catheters is common and usually benign. Fibrin sheath can persist after catheter removal and rarely leads to complications. This is a report of three pediatric oncology patients that required cardiac surgery for cardiac embolization of a "ghost" catheter several years after catheter removal. One case required tricuspid valve replacement for complete tricuspid valve destruction and two had erosion through the atrial wall. The severity of these rare complications mandates follow-up of "ghost" catheters in pediatric oncology patients.
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