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Unexpected finding of an ablation catheter during thoracoscopic exploration for a spontaneous hemothorax – case report


Authors: P. Juhos 1;  M. Janík 1;  M. Lučenič 1;  K. Tarabová 2;  D. Šiška 1;  P. Lauček 1
Authors‘ workplace: Klinika hrudníkovej chirurgie Slovenskej zdravotníckej univerzity a Univerzitná nemocnica Bratislava 1;  Klinika anesteziológie a intenzívnej medicíny Lekárskej fakulty Univerzity Komenského a Univerzitná nemocnica Bratislava 2
Published in: Rozhl. Chir., 2019, roč. 98, č. 5, s. 223-226.
Category: Case Report

Overview

Varicose veins of lower extremities represent a common medical condition with minimally invasive percutaneous endovenous ablation techniques as a treatment of choice. A very rare complication is a catheter migration in the deep venous system. In the literature only 7 cases have been published so far, with only 2 cases with migration to the systemic circulation and heart involvement. In this paper we present an interesting case report from the perspective of a thoracic surgeon with the finding of a laser ablation catheter remnant in the left pleural cavity during thoracoscopic exploration for a spontaneous hemothorax in a 47-year old male patient after collapse. A similar complication affecting the pleural cavity has not been published before. In this paper we discuss possible routes of the cathether migration into the left pleural cavity, impending complications when a part of the catheter is left behind in the body and the means of prevention of these serious potentially fatal complications even after many years following the initial treatment.

Keywords:

varicose veins of lower extremities – endovenous laser ablation – complications – hemothorax – VATS


Sources

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Surgery Orthopaedics Trauma surgery
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