Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Effectiveness of a Hockey-Stick Probe to Localize a Catheter Fragment in a Dog

  • Kim, Kitae (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University) ;
  • Oh, Dayoung (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University) ;
  • Shin, Dongmin (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University) ;
  • Yoon, Junghee (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University)
  • Received : 2021.12.07
  • Accepted : 2022.04.25
  • Published : 2022.08.31
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Abstract

Intravenous catheterization is a common procedure in human and veterinary medicine. Occasionally, a catheter might break within the blood vessel, and the fragment may cause embolization, infections, or other severe complications, and therefore must be removed promptly. For a successful and low-risk removal, the fragment should be localized accurately; however, ultrasound may be challenging to perform on small dogs due to inadequate probes. We report the case of a 2-year-old, 2.6 kg, intact female toy poodle that presented to the veterinary medical center owing to a recent onion intake; the owner requested to induce emesis. A 24 gauge peripheral intravenous catheter was inserted into the cephalic vein prior to the emetic injection. When the clinician removed the catheter, a device breakage was observed. A tourniquet was applied immediately proximal to the elbow. Ultrasonography was performed with a high-frequency small-footprint linear array transducer, also called a hockey-stick probe, to localize the fragment. An additional ultrasound was performed before surgery to confirm the location of the catheter piece, which migrated 5 cm proximally. Afterward, a surgical intervention allowed us to retrieve the fragment. This report highlights the effectiveness of a hockey-stick probe to determine the location of a catheter fragment in small breed dogs.

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References

  1. Ames TR, Hunter DW, Caywood DD. Percutaneous transvenous removal of a broken jugular catheter from the right ventricle of a foal. Equine Vet J 1991; 23: 392-393. https://doi.org/10.1111/j.2042-3306.1991.tb03745.x
  2. Barone G, Pittiruti M, Ancora G, Vento G, Tota F, D'Andrea V. Centrally inserted central catheters in preterm neonates with weight below 1500g by ultrasound-guided access to the brachio-cephalic vein. J Vasc Access 2021; 22: 344-352. https://doi.org/10.1177/1129729820940174
  3. Culp WT, Weisse C, Berent AC, Getman LM, Schaer TP, Solomon JA. Percutaneous endovascular retrieval of an intravascular foreign body in five dogs, a goat, and a horse. J Am Vet Med Assoc 2008; 232: 1850-1856. https://doi.org/10.2460/javma.232.12.1850
  4. De Luca R, Forzoni L, Gelli F, Bamber J. An educational overview of ultrasound probe types and their fields of application. Arch Acoust 2021; 46: 3-15.
  5. Fox PR, Sos TA, Bond BR. Nonsurgical removal of a catheter embolus from the heart of a dog. J Am Vet Med Assoc 1985; 187: 275-276.
  6. Frau Tascon M, Dempsey L, Tayari H, Brissot H, Anselmi C. CT localisation of a broken intravenous cannula in two dogs. Vet Rec Case Rep 2020; 8: e001187. https://doi.org/10.1136/vetreccr-2020-001187
  7. Gentile JM, Bulmer BJ, Heaney AM, Bordelon S. Endovascular retrieval of embolized jugular catheter fragments in three dogs using a nitinol gooseneck snare. J Vet Cardiol 2008; 10: 81-85. https://doi.org/10.1016/j.jvc.2008.02.001
  8. Goodspeed R, Lee BY. What if ...: you're starting an IV and the catheter breaks off in the vein? J Ambul Care Manage 2009; 32: 174-175. https://doi.org/10.1097/01.JAC.0000347983.10035.8a
  9. Gupta AK, Purkayastha S, Krishnamoorthy T. Percutaneous retrieval of intravascular broken catheter fragments. A novel technique using a balloon. Interv Neuroradiol 2005; 11: 149-154. https://doi.org/10.1177/159101990501100205
  10. Kiefer KM, von Pfeil DJF. Shoulder region. In: Duerr FM, editor. Canine lameness. Hoboken: Wiley Blackwell. 2019: 223-254.
  11. Lees MJ, Read RA, Klein KT, Chennel KR, Clark WT, Weldon A. Surgical retrieval of a broken jugular catheter from the right ventricle of a foal. Equine Vet J 1989; 21: 384-387. https://doi.org/10.1111/j.2042-3306.1989.tb02699.x
  12. Little D, Keene BW, Bruton C, Smith LJ, Powell S, Jones SL. Percutaneous retrieval of a jugular catheter fragment from the pulmonary artery of a foal. J Am Vet Med Assoc 2002; 220: 212-214, 184. https://doi.org/10.2460/javma.2002.220.212
  13. Mallmann CV, Wolf KJ, Wacker FK. Retrieval of vascular foreign bodies using a self-made wire snare. Acta Radiol 2008; 49: 1124-1128. https://doi.org/10.1080/02841850802454741
  14. Mariano BP Jr, Roper CL, Staple TW. Accidental migration of an intravenous infusion catheter from the arm to the lung. Radiology 1966; 86: 736-738. https://doi.org/10.1148/86.4.736
  15. Na YJ, Ko HY, Geum M, Jeon S, Kim SE, Kim HJ. Retrieval of an intravascular catheter tip fracture in a dog. J Vet Clin 2020; 37: 270-272. https://doi.org/10.17555/jvc.2020.10.37.5.270
  16. Pirotte T, Veyckemans F. Ultrasound-guided subclavian vein cannulation in infants and children: a novel approach. Br J Anaesth 2007; 98: 509-514. https://doi.org/10.1093/bja/aem041
  17. Porato M, Marolf V, Etienne AL. Catheter fragment embolism in a dog. Vet Rec Case Rep 2020; 8: e001139. https://doi.org/10.1136/vetreccr-2020-001139
  18. Schechter MA, O'Brien PJ, Cox MW. Retrieval of iatrogenic intravascular foreign bodies. J Vasc Surg 2013; 57: 276-281. https://doi.org/10.1016/j.jvs.2012.09.002
  19. Schraverus PJ, van Rijswijk S, Tuinman PR. Case report: using ultrasound to prevent a broken catheter from migrating to the heart. F1000Res 2017; 6: 616. https://doi.org/10.12688/f1000research.11206.1
  20. St John M, Durham HE Jr. Echocardiography and doppler study. In: Durham HE Jr, editor. Cardiology for veterinary technicians and nurses. Hoboken: John Wiley & Sons. 2017: 133-178.