Pediatric Patient With A Retained Catheter Left The Hospital AMA, Now What?

Proposal Number:


Proposal Type:

Medically Challenging Case Report Poster 


Titilopemi Aina  
Texas Children's Hospital/Baylor College of Medicine


Jaime Garcia  
Baylor College of Medicine


A 15-year-old boy with a history of severe hemophilia A and autism presented for surgical removal of a left-sided port-a-cath (PAC). The PAC had been in place for 11 years for the administration of recombinant factor VIII (Eloctate). However, due to the increased difficulty in accessing the patient's PAC, behavioral issues, and the recent FDA approval of a subcutaneous treatment formulation for hemophilia (Emcizumab); 7 months ago, the patient was started on a trial of Emcizumab (Hemlibra) and showed appropriate response. Prior to surgery, the patient's parents were informed that due to the extended length of time that the catheter had been in place, it might be difficult to remove the intravenous portion of the catheter due to scarring.

Professional Category:




Enter up to two references.

1. Roodpeyma S, Hoseyni SAE. Discharge of children from hospital against medical advice. World J Pediatr 2010; 6(4): 353 - 356.