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Vascular/Cardiac » Peripheral Vascular
Retained catheter fragment
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Author(s) :
Chaitali Shah, FRCR
 
Presentation A 26-year-old woman with acute myeloid leukemia presents with a history of right femoral vein catheter insertion. She has had the catheter removed and presents for an ultrasound of the local region.
 
 
 
Caption: Image of the femoral vein near the sapheno-femoral junction
Description: An echogenic linear structure is seen adherent to the anterior wall of the common femoral vein. It exhibits posterior acoustic shadowing. This is suggestive of a retained catheter fragment.
 
 
 
Caption: Transverse view of the femoral vein
Description: The retained catheter fragment is seen again in this image.
 
 
 
Caption: Color Doppler image of the femoral vein
Description: The femoral vein fills with color except in the region of the catheter fragment. On real time ultrasound, this fragment was seen to oscillate with flow. The vein was compressible with no evidence of any thrombus.
 
Differential Diagnosis Retained catheter fragment
 
Final Diagnosis Retained catheter fragment
 
Follow Up A CT scan was performed which confirmed the presence of a retained catheter tip.
 
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