Chronically Retained Central Venous Catheter in Deceased Donor Liver Allograft

Central venous catheters (CVC) are commonly used across multiple medical specialties and are inserted for various reasons. A known, but rare, serious complication of CVC is fracture and retention of residual catheter. Here we describe a chronically retained catheter within the inferior vena cava (IV...

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Bibliographic Details
Main Authors: Shannon Zielsdorf, Beau Kelly, Yuri Genyk, Juliet Emamaullee
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Transplantation
Online Access:http://dx.doi.org/10.1155/2019/4359197
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Summary:Central venous catheters (CVC) are commonly used across multiple medical specialties and are inserted for various reasons. A known, but rare, serious complication of CVC is fracture and retention of residual catheter. Here we describe a chronically retained catheter within the inferior vena cava (IVC) that was asymptomatic and neither diagnosed nor addressed until time of deceased donor liver donation. Prior to transplantation into the recipient, the retained catheter was removed, and a venoplasty of the suprahepatic IVC, middle hepatic vein, and left hepatic vein was performed with no significant issues after transplant in the recipient. With the persistent shortage of suitable organs for transplant leading to patients dying on the waiting list, every good quality organ should be carefully considered. Thus, even though a chronically retained, fractured CVC in a deceased organ donor presents a unique challenge, it can be managed surgically and should not be considered a contraindication to organ utilization.
ISSN:2090-6943
2090-6951