[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-420943-105":59,"doc-detail-420943-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","percutaneous-endovascular-extraction-of-a-fractured-central-line-catheter-from-the-intracardiac-space-utilizing-a-snare-a-case-report","Percutaneous Endovascular Extraction of a Fractured Central Line Catheter From the Intracardiac Space Utilizing a Snare - A Case Report","","Fracture and migration of a central venous catheter is a rare but high-risk complication in which fragments may embolize to the right atrium or ventricle, triggering potentially life-threatening arrhythmias, pseudoaneurysms, perforations, or thromboembolic events. The report describes a 44-year-old woman with a catheter fragment after prior insertion for buccal mucosa carcinoma. Fluoroscopy located the fragment in the right atrium and percutaneous endovascular retrieval using a snare was completed successfully without immediate complications, demonstrating safety and effectiveness.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/percutaneous-endovascular-extraction-of-a-fractured-central-line-catheter-from-the-intracardiac-space-utilizing-a-snare-a-case-report/420943/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/percutaneous-endovascular-extraction-of-a-fractured-central-line-catheter-from-the-intracardiac-space-utilizing-a-snare-a-case-report/420943.png","ImageObject",300,407,{"name":92,"@type":93},"Ivy","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Why is central venous catheter fracture and migration considered serious?","Question",{"text":113,"@type":114},"Fragments can embolize to the right atrium or ventricle, potentially causing life-threatening arrhythmias, perforations, pseudoaneurysms, or thromboembolism.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How was the fractured catheter fragment localized and retrieved in this case?",{"text":118,"@type":114},"Fluoroscopy identified the fragment in the right atrium, and percutaneous endovascular retrieval was performed using a snare via a femoral approach, then adjusted to the right jugular access when alignment issues occurred.",{"name":120,"@type":111,"acceptedAnswer":121},"What follow-up steps were used to check for complications after retrieval?",{"text":122,"@type":114},"Post-procedure chest X-ray and postoperative echocardiography were performed to exclude complications such as pericardial effusion or cardiac tamponade.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},420943,1790811599,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":34,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},549758252649,"https://ap-avatar.wpscdn.com/avatar/8000253669c5317157?_k=1778319167496531819","Review began 11/20/2025  \nReview ended 12/02/2025  \nPublished 12/03/2025  \n© Copyright 2025  \nPande et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0. , which permits unrestricted use , distribution , and reproduction in any medium , provided the original author and source are credited.  \nDOI: 10.7759/cureus.98416  \nOpen Access Case Report  \nPercutaneous Endovascular Extraction of a Fractured Central Line Catheter From the Intracardiac Space Utilizing a Snare: A Case Report  \nArindam Pande 1 , Durlabh Debbarma 1, Ajanta Samanta 2, Saurav Das 1, Sourav Datta 3  \n1. Cardiology, Manipal EM Bypass Hospital, Kolkata, IND 2. Obstetrics and Gynaecology, Manipal EM Bypass Hospital, Kolkata, IND 3. Oncosurgery, Manipal EM Bypass Hospital, Kolkata, IND  \nCorresponding author: Arindam Pande , [drapande@gmail.com](drapande@gmail.com)  \nAbstract  \nFracture and migration of a central venous catheter is an uncommon but serious complication. Fragments can embolize to the right atrium or ventricle, potentially causing life-threatening arrhythmias, pseudoaneurysms, perforations, or thromboembolism. We present the case of a 44-year-old woman with a fractured catheter from a prior insertion for buccal mucosa carcinoma. Fluoroscopy revealed the fragment in the right atrium, and it was successfully retrieved via a percutaneous endovascular approach using a snare, without immediate complications. This case highlights the efficacy and safety of endovascular retrieval for such critical events.  \nCategories: Cardiology, Cardiac/Thoracic/Vascular Surgery, Oncology  \nKeywords: central venous catheter, endovascular, fracture, intracardiac foreign bodies, peripherally inserted central catheters, retrieval, snare  \nIntroduction  \nCentral venous access devices are essential for sustained intravenous therapy in oncology, critical care, and long-term medical management. Despite their utility, they carry a risk of complications, with catheter  \nfracture and migration being rare but demanding urgent intervention. These devices are particularly indicated for long-term therapies, such as chemotherapy, which can sclerose peripheral vessels [1,2] . Venous port catheters also minimize the need for repeated venipuncture [1,3] .  \nComplications are categorized as early (within 30 days of placement) or delayed (after 30 days) . Early  \ncomplications include pneumothorax and catheter misplacement, while delayed complications include infection, thrombosis, and catheter fracture with migration [4] . Fracture and migration are uncommon and typically develop after prolonged use due to pinch-off issues, long-term wear, material fatigue or  \ninadvertant pulling during removal. The early warning signs of catheter rupture include unexpected  \nresistance or the catheter appearing shorter than usual after removal. This complication can result in the fragment lodging in the superior vena cava, right heart, or pulmonary arteries [5-7]. We report a successful percutaneous endovascular retrieval of a migrated catheter fragment from the right atrium using a snare.  \nCase Presentation  \nA 44-year-old female with a recent diagnosis of left buccal mucosa carcinoma was referred for endovascular removal of a fractured central venous catheter. The distal portion had detached and migrated during attempted removal from the right internal jugular vein. Patient did not develop any specific symptoms due to this embolisation. Given the risks of further migration and serious complications, urgent retrieval was  \nindicated.  \nProcedure  \nUnder local anesthesia, a 9 French femoral sheath was placed in the right femoral vein using the Seldinger technique. A hydrophilic guidewire was advanced into the inferior vena cava. A snare catheter was then  \nnavigated to the site of the embolized fragment (Figure 1) . A significant technical challenge was the  \nradiolucent nature of the catheter tip, requiring localization solely via high-reso","cbCaib4hyxxAhEQe","https://ap.wps.com/l/cbCaib4hyxxAhEQe","pdf",4808527,"English","# Abstract\n# Introduction\n# Case Presentation\n# Procedure\n# Discussion","[{\"question\":\"Why is central venous catheter fracture and migration considered serious?\",\"answer\":\"Fragments can embolize to the right atrium or ventricle, potentially causing life-threatening arrhythmias, perforations, pseudoaneurysms, or thromboembolism.\"},{\"question\":\"How was the fractured catheter fragment localized and retrieved in this case?\",\"answer\":\"Fluoroscopy identified the fragment in the right atrium, and percutaneous endovascular retrieval was performed using a snare via a femoral approach, then adjusted to the right jugular access when alignment issues occurred.\"},{\"question\":\"What follow-up steps were used to check for complications after retrieval?\",\"answer\":\"Post-procedure chest X-ray and postoperative echocardiography were performed to exclude complications such as pericardial effusion or cardiac tamponade.\"}]","Percutaneous Endovascular Extraction of a Fractured Central Line Catheter From the Intracardiac Space Utilizing a Snare - A Case Report | PDF",1790623197,18]