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Clinical communication| Volume 4, ISSUE 5, P391-396, 1986

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Needle emboli to lung following intravenous drug abuse

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      Abstract

      Presented is the case of a 36-year-old man using central venous sites for injection of street drugs. X-ray study revealed numerous retained subcutaneous needles as well as a needle that had embolized to the lung periphery. This represents, to the best of our knowledge, a previously unreported complication of central venous injection of street drugs.

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      References

        • Bell C.
        • Boark J.
        • Loeffler J.R.
        Pneumothorax in drug abusers: a complication of internal jugular venous injections.
        Ann Emerg Med. 1983; 12: 167-170
        • Lewis J.W.
        • Groux N.
        • Elliott J.P.
        • et al.
        Complications of attempted central venous injections performed by drug abusers.
        Chest. 1980; 78: 613-617
        • Ho K.-L.
        • Rassekh Z.S.
        Mycotic aneurysm of the right subclavian artery: A complication of heroin addiction.
        Chest. 1978; 74: 116-117
        • Geelhoed G.W.
        • Joseph W.L.
        Surgical sequelae of drug abuse.
        Surg Gynecol Obstet. 1974; 139: 749-755
        • Feliciano D.V.
        • Mattox K.L.
        • Graham J.M.
        Major complications of percutaneous subclavian vein catheters.
        Am J Surg. 1979; 138: 869-874
        • Shapiro S.
        Passage of a hollow needle into the venous blood stream into the heart, through the cardiac wall, and into the thorax.
        Am Heart J. 1941; 22: 835-838
        • Lewis T.D.
        • Henry D.A.
        Needle embolus: A unique complication of intravenous drug abuse.
        Ann Emerg Med. 1984; 14: 906-908
        • Richardson J.D.
        • Grover F.L.
        • Trinkle J.K.
        Intravenous catheter emboli, experience with twenty cases and collective review.
        Am J Surg. 1974; 128: 722-727
        • Turner D.D.
        • Sommers S.C.
        Accidental passage of a polyethylene catheter from cubital vein to right atrium.
        N Engl J Med. 1954; 251: 744-745
        • Aldridge H.E.
        • Lee J.
        Transvascular removal of catheter fragments from the great vessels and heart.
        Can Med Assoc J. 1977; 17: 1300-1304
        • McRaven D.R.
        • Funk D.C.
        • Luch R.J.
        Fracture of a temporary pacemaker electrode catheter.
        South Med J. 1978; 71: 1573-1575
        • Burri C.
        • Ahnefeld F.W.
        The Caval Catheter.
        in: Springer, Berlin, Heidelberg, New York1978: 53-60
        • Sprague D.H.
        • Sarwar H.
        Catheter embolization due to faulty bonding of a catheter shaft to hub.
        Anesthesia. 1978; 49: 285-286
        • Fischer B.J.
        • Ward G.
        Catheter tip embolism—a continuing iatrogenic complication of central venous catheterization.
        Intern Care Med. 1983; 9: 127-129
        • Bernini C.O.
        • Junqueira Jr., A.R.
        • Horita L.T.
        Pulmonary embolism from gunshot missles.
        Surg Gynecol Obstet. 1984; 156: 615-619
        • Fisher R.G.
        • Ferreyro R.
        Evaluation of current techniques for nonsurgical removal of intravascular iatrogenic foreign bodies.
        Am J Roent. 1978; 130: 541-548