Retained embolized fragment of totally implantable central venous catheter in right ventricle: it is really necessary to remove?
The catheter rupture and intracardiac embolization is a rare complication associated with totally implantable or tunneled central venous catheters. When such an event happens, the patient should be managed by expert hemodynamists or interventional radiologists making an effort to remove the fragment without surgical measures. When the intravascular percutaneous route fails, the possibility to leave the fragmented catheter in heart chambers should be evaluated, being surgery questionable in asymptomatic patients.
Ankle dysfunction can alter the way in which individuals move and load their low-backs when lifting. The different ways in which individuals compensate for personal movement constraints could alter the potential site and mechanism of occupational low-back injury.