PMC9674498_01
Chest X-ray in PA (A) and lateral (B) projections showing an image suggestive of rupture of the chemotherapy catheter at the level of the left clavicle and the outer border of the first left rib (orange arrow). The distal segment of the catheter is lodged in the right ventricle (blue arrows).
gr1.jpg
PMC9674498_01_gr1.jpg
fig0001
Chest X-rays in posteroanterior (PA) and lateral views were requested showing an image suggesting rupture of the chemotherapy catheter at the level of the left clavicle and the outer border of the first left rib; however, it was not clearly visualized in the lateral projection (Fig. 1).
Chest X-rays right (A) and left (B) oblique projections confirming the rupture of the catheter (orange arrows) with its distal segment lodged in the right ventricle (blue arrows).
gr2.jpg
PMC9674498_01_gr2.jpg
fig0002
Therefore, additional right and left oblique projections were performed, showing the rupture of the chemotherapy catheter with its distal segment lodged in the right ventricle, confirming the diagnosis (Fig. 2).
Fluoroscopy guided procedure depicting the sequential process to remove the distal segment of the catheter (A-F). Images showing the distal segment of the chemotherapy catheter (white arrows), pigtail catheter (yellow arrow), guidewire (red arrow), guiding catheter (purple arrows), and snare loop (black arrows).
gr3.jpg
PMC9674498_01_gr3.jpg
fig0003
The distal segment of the catheter was extracted via a right femoral vein interventional approach, using a pigtail catheter and snare loop system (Fig. 3).