Dislodged Endovascular Catheter of an Implanted Port Found in Right Hepatic Vein Branch – Case Report

Abstract

Background: Central venous access devices (CVADs) are used in patients who require extended intravenous therapy. Regardless of its low rate, dislodgement is considered to be one of the delayed complications that would require a percutaneous retrieval via the femoral or jugular vein.
 Case Presentation: Herein we present a case of a 41-year-old woman who recently started adjuvant chemotherapy for palatal carcinosarcoma. Soon after her first cycle, the patient started to complain of palpitations followed by a failure to administer the second cycle. She presented to the emergency department and radiographic images showed a detached endovascular catheter located between the right atrium and the right hepatic vein. She underwent fluoroscopy guided percutaneous extraction.
 Conclusion: Any failure or difficulty in accessing CVADs must be thoroughly investigated to ensure device intactness and precise adequate management.