Tethered Hemodialysis Catheter With Retained Portions in Central Vein and Right Atrium on Attempted Removal

A case of tunneled Tesio (Medcomp, Harrisburg, PA) twin hemodialysis catheters (silicone) extensively tethered subcutaneously and intravascularly is reported. Attempted removal resulted in significant portions of both catheters being retained in the superior vena cava and right atrium.