Cuerpo extraño intravascular sintomático
- Revilla Calavia, Alvaro
- Del Blanco, I.
- San Norberto García, Enrique
- Merino Díaz, Borja
- Gastambide, María Victoria
- Taylor, J.
- Carrera, S.
- Vaquero Puerta, Carlos
ISSN: 1139-8264
Ano de publicación: 2011
Volume: 14
Número: 3
Páxinas: 153-156
Tipo: Artigo
Outras publicacións en: Revista española de investigaciones quirúrgicas
Resumo
The use of venous catheters for parenteral nutrition, administration of antibiotics, blood transfusions and chemotherapy are every day more common in medical practice. Because of this, the embolization of fragments of catheters and guides are relatively common for their increasingly more frequent use. The most common foreign bodies described are guides, catheters, pacemaker transducers, stents and coils (1,2). It is estimated that the rupture and embolization rate of a catheter is situated between a 0.1 and a 1.7% (3,4). The risk factors described in the literature are the type of catheter used, placement site, time and administered substance. The possible complications are embolization of fragments of the local thrombus, distal ischemia, thoracic pain, arrythmias, cardiac or venous perforation or even risk of severe sepsis (4). We describe a case in which a fragment of a guide remained for at least 20 months inside the inferior vena cava, iliac and femoral veins causing symptoms due to its fistulization.