From the Guidelines

Yes, a fractured Central Venous Catheter (CVC) tip in the right ventricle can be removed, but it requires careful consideration and expertise 1.

The procedure for removal typically involves the use of a snare or a retrieval device under the guidance of an experienced interventional cardiologist or radiologist.
It is crucial to monitor the patient closely for any signs of complications, such as arrhythmias, cardiac perforation, or pulmonary embolism, during and after the procedure.
The administration of anticoagulant medication may be necessary to prevent thrombosis, and broad-spectrum antibiotics may be prescribed to prevent infection.
The removal should be done as soon as possible to minimize the risk of complications, and the patient should be followed up closely after the procedure to ensure that there are no adverse effects.
Firm digital pressure and an occlusive dressing may be applied after removal to reduce risks of air embolus and bleeding, as suggested for general CVC removal 1.
However, the specific case of a fractured CVC tip in the right ventricle may require more specialized care and equipment, potentially involving a cardiac catheterization laboratory or an operating room.

From the Research

A fractured CVC tip in the right ventricle can be removed, as evidenced by several case reports 2, 3, 4, 5.
The removal of the catheter fragment can be done percutaneously using a snare or other interventional radiology techniques 2, 3, 5.
In some cases, the removal of the catheter fragment may not be possible or necessary, especially if the patient is asymptomatic and there is no hemodynamic impairment 6.
The decision to remove the catheter fragment should be made on a case-by-case basis, taking into account the patient's symptoms, the location of the fragment, and the risk of complications 6, 5.

A fractured CVC can cause serious complications, including arrhythmias, thrombosis, infection, and perforation 2, 3, 4, 5.
The risk of complications is higher if the catheter fragment is located in the right ventricle or pulmonary artery 5.
Regular follow-up with chest X-ray may help to recognize the fracture and embolization of the catheter earlier, reducing the risk of complications 2.

Percutaneous removal of the catheter fragment using a snare or other interventional radiology techniques is a common approach 2, 3, 5.
In some cases, a pigtail catheter may be used to straighten the fragment before removal 2.
Surgical removal of the catheter fragment is rarely necessary, but may be considered in cases where percutaneous removal is not possible or has failed 6.