Breakage and retention of thoracic paravertebral catheter: a case report

JA Clinical Reports
Tasuku FujiiKimitoshi Nishiwaki

Abstract

Paravertebral catheters are generally inserted and removed without complications. However, catheter breakage occurs rarely. This is the first report describing breakage of a thoracic paravertebral catheter and retention of the catheter fragment within the patient. A 65-year-old female patient complained of an unusual sensation in her back during postoperative chemotherapy for lung cancer. A catheter fragment was identified in the soft tissues of the back on computed tomography. The paravertebral catheter had been placed 2 years prior left lower lobectomy. The patient had neither neurological symptoms nor infection signs around the fragment. However, the potential side effects of chemotherapy, including coagulopathy and immunosuppression, increased the risk of late-onset hematoma and abscess formation around the fragment. Therefore, we surgically removed the catheter fragment. Analysis of the fragment revealed that the catheter had been severed by the cutting edge of the Tuohy needle or the suture needle. In this report, a paravertebral catheter fragment was retained in the posterior mediastinum for 2 years. The catheter was likely damaged during the insertion procedure. We suggest that catheters should not be withdrawn through ...Continue Reading

References

Nov 1, 1995·Anesthesiology·P S StaatsR R Lee
Jan 7, 1998·Anesthesiology·N BlanchardJ Tchaoussoff
Aug 24, 2004·International Journal of Obstetric Anesthesia·C Collier
Feb 16, 2006·British Journal of Anaesthesia·Y DemiraranB Erdogmus
Feb 3, 2016·Global Spine Journal·Yoshimoto IshikawaNaoki Ishiguro

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Citations

Jun 12, 2021·Journal of Clinical Anesthesia·Mihaela Visoiu, Marcus M Malek

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Methods Mentioned

BETA
transmission electron micrography

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