Case report of a stuck hemodialysis central venous catheter: from endovascular intervention to median sternotomy

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Reza Eka Putra
Prasetyo Edi
Andreas A. Lensoen


A stuck hemodialysis catheter, removal technique, endovascular intervention, median sternotomy


Background: Extended uses of hemodialysis catheters is often associated with thrombosis and fibrosis of the central vein around the catheter. The removal becomes complex when the catheter is stuck in a central vein. This case report presented a complex stage of removing a stuck catheter in the central vein.

Case Report: A 45-year-old man complained of a stuck hemodialysis catheter in the left subclavian vein, which had been placed 8 months previously. An endovascular intervention has been tried using traction and snaring of the catheter tip, but it cannot be removed because the body part of the catheter is firmly attached to the central vein, so we decided to evacuate the catheter using the median sternotomy procedure. We found an adhesion between the left innominate vein's wall and the catheter's body about 4 cm from the catheter tip. The left innominate vein was incised longitudinally while detaching the catheter against the vein. We repair the left Innominate vein without using a graft.

Conclusion: A stuck catheter to the central vein was an unexpected complication due to the removal of the hemodialysis catheter. There are several options for removing a stuck catheter, such as various endovascular interventions and open surgical techniques.

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1. Hong JH. A Breakthrough Technique for the Removal of a Hemodialysis Catheter Stuck in the Central Vein: Endoluminal Balloon Dilatation of the Stuck Catheter. J Vasc Access. 2011;12(4):381–4. Available from:
2. Field M, Pugh J, Asquith J, Davies S, Pherwani AD. A Stuck Hemodialysis Central venous Catheter. J Vasc Access. 2008;9(4):301–3. Available from:
3. Hong JH. An Easy Technique for the Removal of a Hemodialysis Catheter Stuck in Central Veins. J Vasc Access. 2010;11(1):59–62. Available from:
4. Tristão FR, Moreira RCR, Valle CE Del, Neves GCS. Inadvertent insertion of a venous catheter into the internal thoracic vein: a word of caution. J Vasc Bras. 2019;18:e20190097–e20190097. Available from:
5. Jafferbhoy SF, Asquith JR, Jeeji R, Levine A, Menon M, Pherwani AD. A stuck haemodialysis central venous catheter: not quite open and shut! J Surg Case Rep. 2015;2015(4):rjv032. Available from:
6. MORTENSEN A, AFSHARI A, HENNEBERG SW, HANSEN MA. Stuck long-term indwelling central venous catheters in adolescents: three cases and a short topical review. Acta Anaesthesiol Scand. 2010;54(6):777–80. Available from:
7. Forauer AR, Theoharis C. Histologic Changes in the Human Vein Wall Adjacent to Indwelling Central Venous Catheters. Journal of Vascular and Interventional Radiology. 2003;14(9):1163–8. Available from:
8. Kohler TR, Kirkman TR. Central venous catheter failure is induced by injury and can be prevented by stabilizing the catheter tip. J Vasc Surg. 1998;28(1):59–66. Available from:
9. Wildgruber M, Lueg C, Borgmeyer S, Karimov I, Braun U, Kiechle M, et al. Polyurethane versus silicone catheters for central venous port devices implanted at the forearm. Eur J Cancer. 2016;59:113–24. Available from: