A Rare Case of Foreign Body in the Coronary Sinus A Novel Endovascular Retrieval Technique

Introduction: In this groundbreaking case, we explore a rare instance of a central venous catheter fracture that migrated into the coronary sinus. Using a novel endovascular technique, the foreign body was successfully retrieved, marking a significant advancement in catheter removal procedures. For more in-depth studies on such innovative medical approaches, visit https://www.cardiologymedjournal.com/jccm.

Main Content Sections:

• Overview of Central Venous Catheters:
  Central venous catheters (CVC) are widely used for long-term treatments such as chemotherapy. Although complications like thrombosis and infection are common, the migration of a fractured catheter into the coronary sinus is an exceedingly rare event.
• Case Report Details:
  A 24-year-old woman with immune thrombocytopenia presented with chest discomfort during chemotherapy. Chest radiography and CT scans revealed the fractured catheter lodged in the coronary sinus. Despite several attempts to retrieve it, only a novel navigational electrophysiology catheter technique proved successful. This technique involved using intracardiac echocardiography for precise guidance.
• The Novel Retrieval Technique:
  This case showcases the use of a navigational electrophysiology catheter, a first in this type of procedure. This approach offered a new solution where traditional methods failed, providing a model for future challenging cases.
• Implications for Medical Practice:
  The American College of Cardiology (ACC) stresses the importance of advancements in catheter removal procedures, as improper handling of such rare cases can lead to severe complications, including arrhythmias and valve damage.

Further Reading and Resources

• Full Study Link: “Read the full study at https://doi.org/10.29328/journal.jccm.1001151.”
• Additional Resources: For further insights, check out other related case reports and studies available on https://www.cardiologymedjournal.com/jccm.

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