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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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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author Shannon Zielsdorf
Beau Kelly
Yuri Genyk
Juliet Emamaullee
author_facet Shannon Zielsdorf
Beau Kelly
Yuri Genyk
Juliet Emamaullee
author_sort Shannon Zielsdorf
collection DOAJ
description 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.
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series Case Reports in Transplantation
spelling doaj-art-5ce3c6fd0d764a09a8d3a9e1141943e72025-08-20T03:34:14ZengWileyCase Reports in Transplantation2090-69432090-69512019-01-01201910.1155/2019/43591974359197Chronically Retained Central Venous Catheter in Deceased Donor Liver AllograftShannon Zielsdorf0Beau Kelly1Yuri Genyk2Juliet Emamaullee3Department of Surgery, University of Southern California, Los Angeles, CA, USASierra Donor Services, Sacramento, CA, USADepartment of Surgery, University of Southern California, Los Angeles, CA, USADepartment of Surgery, University of Southern California, Los Angeles, CA, USACentral 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.http://dx.doi.org/10.1155/2019/4359197
spellingShingle Shannon Zielsdorf
Beau Kelly
Yuri Genyk
Juliet Emamaullee
Chronically Retained Central Venous Catheter in Deceased Donor Liver Allograft
Case Reports in Transplantation
title Chronically Retained Central Venous Catheter in Deceased Donor Liver Allograft
title_full Chronically Retained Central Venous Catheter in Deceased Donor Liver Allograft
title_fullStr Chronically Retained Central Venous Catheter in Deceased Donor Liver Allograft
title_full_unstemmed Chronically Retained Central Venous Catheter in Deceased Donor Liver Allograft
title_short Chronically Retained Central Venous Catheter in Deceased Donor Liver Allograft
title_sort chronically retained central venous catheter in deceased donor liver allograft
url http://dx.doi.org/10.1155/2019/4359197
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AT beaukelly chronicallyretainedcentralvenouscatheterindeceaseddonorliverallograft
AT yurigenyk chronicallyretainedcentralvenouscatheterindeceaseddonorliverallograft
AT julietemamaullee chronicallyretainedcentralvenouscatheterindeceaseddonorliverallograft