Catheter Fracture of Subclavian Venous Chemoport Device at Costoclavicular Junction: Pinch-off Syndrome

Abstract

Chemoport is most commonly used venous access devices for instillation of chemotherapeutic drugs in cancer care. Mechanical complications like catheter fracture can lead to serious morbidity, albeit occurring rarely. We present a case of a 35-year-old lady, a case of carcinoma breast, who had spontaneous fracture of chemoport access device in subclavian vein at the level of clavicle after four successful cycles of chemotherapy. The fracture was suspected on chest x-ray and was subsequently confirmed on contrast linogram. The patient was successfully managed with endovascular interventional technique without suffering any ill effects. It is a rare presentation of pinch-off syndrome.

Stuck fragment of totally implantable central venous access ports during removal: risk factor analysis in children

“…There is also much controversy about the association between the TICVAP venous insertion site and a retained catheter. Numerous studies have reported that LSCV catheterization is associated with more complications, such as catheter fracture, pinch off syndrome, thrombosis, or stuck catheter [ 11 – 14 ]. In our study, the TICVAP venous insertion site of all patients in Group S was LSCV.…”