Successful Retrieval of a Partially Cut and Embolized Peripheral Intravenous Catheter from Cephalic Vein

Main Article Content

Manoj Ravi
C. K. Prasanna Kumar
T. P. Rakesh


Placements of peripheral intravenous (IV) catheters are very common in hospital admitted patients. Rarely, fracture or accidental cutting can lead to embolization of the distal segment. Difficult decision-making situations can arise while considering between open surgical or interventional procedures for retrieval, which, largely depends on the position, physical features of the embolized segment, and morbidity of the procedure. We report a case of successful retrieval of an embolized fragment of an IV catheter lodged in the cephalic vein with an interventional procedure. We illustrate detailed step-wise techniques applied for percutaneous retrieval of foreign body, using simplified tool with different interventional possibilities. All procedures were performed safely and without difficulty. No complication was noted during or after these procedures.

Cardiovascular, embolization, interventional procedure, retrieval of foreign body, safety

Article Details

How to Cite
Ravi, M., Kumar, C. K. P., & Rakesh, T. P. (2020). Successful Retrieval of a Partially Cut and Embolized Peripheral Intravenous Catheter from Cephalic Vein. Asian Journal of Case Reports in Surgery, 5(1), 1-5. Retrieved from
Case Study


Smouse HB, Fox PF, Brady TM, Swischuk JL, Castañeda F, Pham MT. Intravascular foreign body removal. Semin Intervent Radiol. 2000;17:201-212.

Andrews RE, Tulloh RM, Rigby ML. Percutaneous retrieval of central venous catheter fragments. Arch Dis Child. 2002; 87(2):149-150.

DOI: 10.1136/adc.87.2.149

Surov A, Wienke A, Carter JM, Stoevesandt D, Behrmann C, Spielmann RP, et al. Intravascular embolization of venous catheter--causes, clinical signs, and management: A systematic review. JPEN J Parenter Enteral Nutr. 2009;33(6): 677-85.

DOI: 10.1177/0148607109335121

Epub 2009 Aug 12.

Wolf F, Schernthaner RE, Dirisamer A, Schoder M, Funovics M, Kettenbach J, et al. Endovascular management of lost or misplaced intravascular objects: experiences of 12 years. Cardiovasc Intervent Radiol. 2008;31(3):563-568.

DOI: 10.1007/s00270-007-9201-8

Schultz DG, Rockville MD. FDA Public Health Notification: Unretrieved Device Fragments. In: Center for Devices and Radiological Health UFaDA. Center for Devices and Radiological Health; CDRH; US Food and Drug Administration; FDA; 2008

Gabelmann A, Kramer S, Gorich J. Percutaneous retrieval of lost or misplaced intravascular objects. AJR Am J Roentgenol. 2001;176(6):1509-1513.

DOI: 10.2214/ajr.176.6.1761509

Richardson JD, Grover FL, Trinkle JK. Intravenous catheter emboli. Experience with twenty cases and collective review. Am J Surg. 1974;128(6):722-727.

DOI: 10.1016/0002-9610(74)90057-9

Rossi UG, Rollandi GA, Ierardi AM, Valdata A, Pinna F, Pescatori LC, Materials and techniques for percutaneous retrieval of intravascular foreign bodies. The Journal of Vascular Access. 2019; 20(1):87-94.

DOI: 10.1177/1129729818785

Thomas J, Sinclair-Smith B, Bloomfield D, Davachi A. Non-surgical retrieval of a broken segment of steel spring guide from the right atrium and inferior vena cava Circulation.1964;30:106-108.

DOI: 10.1161/01.cir.30.1.106

Motta-Leal-Filho J, Carnevale F, Nasser F, Santos A, Junior W, Zurstrassen C, Endovascular techniques and procedures, methods for removal of intravascular foreign bodies. Brazilian Journal of Cardiovascular Surgery. 2010;25(2):202-8.

DOI: 10.1590/S0102-76382010000200012

Cekirge S, Weiss JP, Foster RG, Neiman HL, McLean GK. Percutaneous retrieval of foreign bodies: experience with the nitinol Goose Neck snare. J Vasc Interv Radiol. 1993;4(6):805-810.

DOI: 10.1016/s1051-0443(93)71978-8.

Sheth R, Someshwar V, Warawdekar G. Percutaneous retrieval of misplaced intravascular foreign objects with the Dormia basket: An effective solution. Cardiovasc Intervent Radiol. 2007;30(1):48-53.

DOI: 10.1007/s00270-005-0297-4