Late Intravascular Embolization of a Chemo Port Catheter

Loch, Alexander; Singh, R; Abidin, Imran Zainal; Han, Chee Kok; Ahmad, Wan Azman Wan

doi:10.1097/jto.0b013e31821f9771

Cited by 1 publication

(3 citation statements)

References 4 publications

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“…By a large margin, retracting the catheter through the needle was the most common mechanism of catheter embolization for many years ( 1 , 11 ). Entrapment of the catheter between clavicle and first rib (“pinch-off”) is another cause of embolization ( 7 , 12 , 15 ). To prevent pinch-off syndrome, port catheter should be implanted more laterally in the subclavian vein, or in some cases, jugular vein should be applied ( 12 ).…”

Section: Discussionmentioning

confidence: 99%

“…Guidelines suggest that unused ports should be removed ( 17 ). Regarding the potential dangers of retained intravascular objects, it is advised that intravascular deices should be precisely localized and taken away as soon as possible, if a piece of the device is lost in the cardiovascular system before it reaches heart ( 1 , 4 , 6 , 12 , 15 ). If a polyethylene catheter or a silicone rubber stays in cardiovascular system for about 6 - 8 weeks, their removal is complicated because of fibrous endothelial reaction around the catheter ( 14 , 18 ).…”

Section: Discussionmentioning

confidence: 99%

“…By applying modern catheters, the incidence of this complication has decreased ( 11 ). Catheter embolization may remain undetected for a long time and often diagnosed incidentally ( 7 , 12 , 15 ). Catheter malfunction may be the first sign of this complication ( 7 , 12 ).…”

Section: Introductionmentioning

confidence: 99%

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PermCath Catheter Embolization: a Case Report

2015

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Introduction:Nowadays, many types of intravascular devices and catheters are used in order to diagnose and treat diseases. Complications related to these instruments are the costs that doctors and patients have to pay to benefit from their advantages. Catheter embolization is one of these side effects. Patients with devices in their cardiopulmonary system are at risk for severe complications such as arrhythmias, pulmonary embolism, myocardial injuries, hemoptysis, thrombosis and perforation.Case Presentation:A 50-years-old woman, with a history of breast cancer, had a PermCath emplacement in right subclavian vein for a course of chemotherapy. The treatment for cancer seemed to be successful and the PermCath had remained in its position without complication, for a couple of years however, the catheter was founded broken and embolized to the right ventricle and the main left pulmonary artery, diagnosed by a chest X-ray study incidentally.Conclusions:It is better to remove the unused devices safely to prevent and decrease their possible complications.

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