# Catheter Retention — GCMD Library living collection

Everything in the library about catheter retention — built automatically from dossiers that name it.

Updated: n/a · 3 episodes · 31 cited statements

## Episodes
### Complications
- [Retained Central Venous Catheters](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-561) — video · 3:41 · [machine version](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-561.md)
- [Retained Central Venous Catheters](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-562) — video · 3:41 · [machine version](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-562.md)
- [Management of Retained Central Venous Catheters](https://origin-library.globalcastmd.com/watch/management-of-retained-central-venous-catheters-1330) — video · 3:41 · [machine version](https://origin-library.globalcastmd.com/watch/management-of-retained-central-venous-catheters-1330.md)

## Chapters
- [0:04](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-561?t=4) Incidence and definition of retained catheter fragments (Ep 1)
- [1:10](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-561?t=70) Risk factors for catheter retention (Ep 1)
- [1:55](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-561?t=115) Management options and complications of retrieval versus observation (Ep 1)
- [2:54](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-561?t=174) Clinical recommendations (Ep 1)
- [0:04](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-562?t=4) Incidence and definition of retained catheter fragments (Ep 2)
- [1:10](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-562?t=70) Risk factors for catheter retention (Ep 2)
- [1:55](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-562?t=115) Management options and outcomes of retained fragments (Ep 2)
- [2:54](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-562?t=174) Clinical recommendations (Ep 2)
- [0:04](https://origin-library.globalcastmd.com/watch/management-of-retained-central-venous-catheters-1330?t=4) Case presentation and incidence of catheter retention (Ep 3)
- [1:10](https://origin-library.globalcastmd.com/watch/management-of-retained-central-venous-catheters-1330?t=70) Risk factors for catheter retention (Ep 3)
- [1:56](https://origin-library.globalcastmd.com/watch/management-of-retained-central-venous-catheters-1330?t=116) Management options and complications (Ep 3)
- [2:55](https://origin-library.globalcastmd.com/watch/management-of-retained-central-venous-catheters-1330?t=175) Clinical recommendations (Ep 3)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- 5 to 15% of patients who have catheters removed require some sort of additional intervention to remove the catheter. — Ian Glenn (epidemiological) [Ep 3 · 0:32](https://origin-library.globalcastmd.com/watch/management-of-retained-central-venous-catheters-1330?t=32)
- The actual number of catheters or catheter fragments that get left behind is 0.2 to 2%. — Ian Glenn (epidemiological) [Ep 3 · 0:57](https://origin-library.globalcastmd.com/watch/management-of-retained-central-venous-catheters-1330?t=57)
- Risk factors for catheter retention include chemotherapy infusion through the line. — Ian Glenn (clinical) [Ep 3 · 1:12](https://origin-library.globalcastmd.com/watch/management-of-retained-central-venous-catheters-1330?t=72)
- Risk factors for catheter retention include catheters that are indwelling for longer than about a year and a half. — Ian Glenn (clinical) [Ep 3 · 1:12](https://origin-library.globalcastmd.com/watch/management-of-retained-central-venous-catheters-1330?t=72)
- There is an association between polyurethane catheter material and catheter retention when compared with silicone catheters. — Ian Glenn (clinical) [Ep 3 · 1:25](https://origin-library.globalcastmd.com/watch/management-of-retained-central-venous-catheters-1330?t=85)
- Power ports are polyurethane catheters. (clinical) [Ep 3 · 1:31](https://origin-library.globalcastmd.com/watch/management-of-retained-central-venous-catheters-1330?t=91)
- The recommendation would be to go with silastic catheters for long-term chemotherapy cases. — Ian Glenn (guideline) [Ep 3 · 1:46](https://origin-library.globalcastmd.com/watch/management-of-retained-central-venous-catheters-1330?t=106)
- Surgical venotomy to retrieve a retained catheter carries a risk of bleeding. — Ian Glenn (clinical) [Ep 3 · 2:10](https://origin-library.globalcastmd.com/watch/management-of-retained-central-venous-catheters-1330?t=130)
- In interventional radiology case series attempting endovascular catheter removal, there was a risk of the line completely breaking and embolizing distally. — Ian Glenn (clinical) [Ep 3 · 2:16](https://origin-library.globalcastmd.com/watch/management-of-retained-central-venous-catheters-1330?t=136)
- In interventional radiology case series attempting endovascular catheter removal, there was a risk of thrombosis occurring during the procedure. — Ian Glenn (clinical) [Ep 3 · 2:16](https://origin-library.globalcastmd.com/watch/management-of-retained-central-venous-catheters-1330?t=136)
- Multiple studies of patients with retained catheter fragments, with follow-up periods from months to the order of 5 years, found no complications. — Ian Glenn (epidemiological) [Ep 3 · 2:31](https://origin-library.globalcastmd.com/watch/management-of-retained-central-venous-catheters-1330?t=151)
- No thrombosis was associated with retained catheter fragments in studies with follow-up from months to 5 years. — Ian Glenn (epidemiological) [Ep 3 · 2:42](https://origin-library.globalcastmd.com/watch/management-of-retained-central-venous-catheters-1330?t=162)
- No infections were associated with retained catheter fragments in studies with follow-up from months to 5 years. — Ian Glenn (epidemiological) [Ep 3 · 2:42](https://origin-library.globalcastmd.com/watch/management-of-retained-central-venous-catheters-1330?t=162)
- 5–15% of patients who have catheters removed require some additional intervention (enlarging incision, venotomy, or interventional radiology). — Ian Glenn (epidemiological) [Ep 1 · 0:32](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-561?t=32)
- 0.2–2% of catheter removals result in at least part of the catheter being left behind. — Ian Glenn (epidemiological) [Ep 1 · 0:32](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-561?t=32)
- Risk factors for catheter retention include chemotherapy infusion through the line, indwelling duration longer than about 1.5 years, and polyurethane catheter material compared with silicone. — Ian Glenn (clinical) [Ep 1 · 1:12](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-561?t=72)
- Power ports are polyurethane catheters. (clinical) [Ep 1 · 1:31](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-561?t=91)
- For long-term chemotherapy access, a silastic line should be considered instead of a polyurethane line. — Ian Glenn (opinion) [Ep 1 · 1:31](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-561?t=91)
- Surgical venotomy to retrieve a retained catheter carries a risk of bleeding. — Ian Glenn (clinical) [Ep 1 · 2:04](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-561?t=124)
- Endovascular retrieval by interventional radiology carries risks of the line completely breaking and embolizing distally or of thrombosis occurring during the procedure. — Ian Glenn (clinical) [Ep 1 · 2:04](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-561?t=124)
- Silastic catheters generally have a larger outer diameter for a given lumen compared with polyurethane catheters. (clinical) [Ep 1 · 2:54](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-561?t=174)
- 5 to 15% of patients who have catheters removed require some sort of additional intervention to remove the catheter. — Ian Glenn (epidemiological) [Ep 2 · 0:32](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-562?t=32)
- The actual number of catheters or catheter fragments that get left behind is 0.2 to 2%. — Ian Glenn (epidemiological) [Ep 2 · 0:32](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-562?t=32)
- Risk factors for catheter retention include chemotherapy infused through the lines. — Ian Glenn (clinical) [Ep 2 · 1:12](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-562?t=72)
- Risk factors for catheter retention include catheters that are indwelling for longer than about a year and a half. — Ian Glenn (clinical) [Ep 2 · 1:12](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-562?t=72)
- There is an association between polyurethane catheter material and catheter retention when compared with silicone catheters. — Ian Glenn (clinical) [Ep 2 · 1:12](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-562?t=72)
- Power ports are polyurethane catheters. — Todd Ponsky (clinical) [Ep 2 · 1:31](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-562?t=91)
- For long-term chemotherapy, a silastic line should be considered instead of a polyurethane line. — Ian Glenn (opinion) [Ep 2 · 1:31](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-562?t=91)
- If you surgically go in for a venotomy and tug at the catheter, you run a risk of bleeding. — Ian Glenn (clinical) [Ep 2 · 2:04](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-562?t=124)
- In interventional radiology retrieval, there is a risk of the line completely breaking and embolizing distally or of thrombosis occurring during the procedure. — Ian Glenn (clinical) [Ep 2 · 2:04](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-562?t=124)
- Silastic lines generally have a larger size diameter for a given lumen compared to polyurethane lines. — Todd Ponsky (clinical) [Ep 2 · 2:54](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-562?t=174)

## Host summaries
Recaps by a host of what the experts said — not the host's own clinical position.
- Silastic lines generally have a larger size diameter for a given lumen compared to polyurethane lines. — The host summarizes what Dr. Ian Glenn said [Ep 3 · 3:08](https://origin-library.globalcastmd.com/watch/management-of-retained-central-venous-catheters-1330?t=188)
- There has never been a report of a problem by leaving a retained catheter tip in, although long-term data are lacking. — The host summarizes what Dr. Ian Glenn said [Ep 3 · 3:26](https://origin-library.globalcastmd.com/watch/management-of-retained-central-venous-catheters-1330?t=206)
- Multiple studies of patients with retained catheter fragments followed for months to 5 years found no complications (no thrombosis or infections). — The host summarizes what Dr. Ian Glenn said [Ep 1 · 2:31](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-561?t=151)
- There has never been a report of a problem from leaving a catheter tip in, although long-term data are lacking. — The host summarizes what Dr. Ian Glenn said [Ep 1 · 2:54](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-561?t=174)
- Multiple studies of patients with retained catheter fragments followed for months to the order of 5 years found no complications. — Todd Ponsky summarizes what Dr. Ian Glenn said [Ep 2 · 2:31](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-562?t=151)
- No thrombosis associated with retained catheter fragments has been reported in follow-up studies. — Todd Ponsky summarizes what Dr. Ian Glenn said [Ep 2 · 2:31](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-562?t=151)
- No infections associated with retained catheter fragments have been reported in follow-up studies. — Todd Ponsky summarizes what Dr. Ian Glenn said [Ep 2 · 2:31](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-562?t=151)
- There has never been a report of a problem by leaving a retained catheter tip in, although long-term data are lacking. — Todd Ponsky summarizes what Dr. Ian Glenn said [Ep 2 · 2:54](https://origin-library.globalcastmd.com/watch/retained-central-venous-catheters-562?t=174)

## Changelog
- Sep 15: 3 items added automatically

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