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Dr Alessandro Crocoli speaks to ecancer about a 15-year retrospective study examining difficult central venous catheter removal in children.
He reports that difficult removal was rare, occurring in less than 1% of more than 3,000 procedures, and was particularly associated with prolonged catheter dwell times and chronic disease.
Dr Crocoli explains that almost half of the difficult cases resulted in a retained catheter fragment, with affected patients managed conservatively without subsequent late complications.
He highlights a shift from aggressive attempts at complete extraction towards a more conservative approach, suggesting that leaving retained intravascular fragments in place may be a safe option for selected asymptomatic patients when standard catheter removal fails.
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