Late Embolization of an Unfractured Port Catheter into the Heart: Report of a Case

Behrend, Matthias; Paboura, Eleni; Raab, R.

doi:10.1007/s005950200135

Cited by 15 publications

(10 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These may even be severe, e.g., catheter embolization due to its fracture [3] or rupture [4,5,6,7] (Figure 1). The complications correlated with PVAD can be divided into five categories [8] positioning, catheter malfunction, thrombosis of the catheter or of the recipient venous system (Figure 2), infection of the device, and extravasal leakage ( Figure 3).…”

Section: Introductionmentioning

confidence: 98%

Immediate and long-term complications of prolonged-venous-access devices (PVAD): A comparison between surgical cutdown and percutaneous techniques

Sarzo¹,

Finco²,

Savastano³

et al. 2011

Int J Angiol

View full text Add to dashboard Cite

There is currently still no consensus regarding the best technique for implanting prolonged-venousaccess devices (PVAD). One hundred ninety-six patients underwent surgical PVAD positioning using an all-surgical cutdown approach to the cephalic vein (CV). When surgical cannulation proved impossible, the patient was converted to percutaneous positioning. A retrospective analysis was performed on the difference between these two techniques. Among the 196 patients who underwent the surgical insertion of a PVAD, 23 (11.7%) were converted to percutaneous cannulation. For the surgical cannulation group, the median operating time was 35 minutes vs the 52.5 minutes needed for the percutaneous cannulation group. The median time of fluoroscopy amounted to eight seconds for the surgical cannulation group vs 18 seconds for the percutaneous cannulation group. Complications were observed in 23/196 patients (11.7%): 9/23 patients (39.1%) developed infections. Deep venous thrombosis was observed in 4/23 patients (17.4%). Pneumothorax and arterial hematoma developed in 5/23 patients (21.7%), all cases of percutaneous placement. PVAD malfunction was observed in 3/23 patients (13.0%). We concluded that surgical cutdown is faster than the percutaneous approach and safer for both patient and surgeon, involving a shorter time of exposure to radiation and reducing the risk of infection.

show abstract

Section: Introductionmentioning

confidence: 98%

Immediate and long-term complications of prolonged-venous-access devices (PVAD): A comparison between surgical cutdown and percutaneous techniques

Sarzo¹,

Finco²,

Savastano³

et al. 2011

Int J Angiol

View full text Add to dashboard Cite

show abstract

“…The latter include forced flushing, upper extremity vigorous movements, neck flexion, congestive heart failure, changing in thoracic pressure with coughing and vomiting, catheter damage by chemotherapic drugs, and the so called "pinch-off syndrome" (14,(24)(25). Pinch-off syndrome happens when a subclavian catheter passes through a small anatomic space between the first rib and the clavicle, becoming compressed or kinked during arm motion, causing its fracture (18,19,26,27). Pinch-off syndrome may be prevented by insertion of the catheter more laterally into the jugular vein (28).…”

Section: Discussionmentioning

confidence: 99%

Totally implantable catheter migration and its percutaneous retrieval: case report and review of the literature

Intagliata¹,

Burzotta²,

Vecchio³

2016

GCHIR

View full text Add to dashboard Cite

“…[1][2][3][4] Indeed, port catheter fragments can cause embolism in the right atrium, right ventricle, or pulmonary artery. In most previously published case reports, fragment dislocation was clinically inconspicuous 2,4,5 ; however, according to other authors, severe complications may develop in approximately 71% of the patients with catheter embolism.…”

Section: Intravenous Port Catheter Embolization: Mechanisms Clinicalmentioning

confidence: 99%

Intravenous Port Catheter Embolization: Mechanisms, Clinical Features, and Management

et al. 2008

View full text Add to dashboard Cite

Venous catheters are important therapeutic devices for the administration of fluid and chemotherapeutic agents; however, their use may be associated with serious complications, such as catheter rupture and embolism. Most data on port catheter embolization consist of isolated case reports; only a few studies have examined a large number of patients with port catheter embolism. The purpose of this study was to identify the incidence of clinical symptoms in patients with catheter dislocation and to determine the role of catheter fragment localization in combination with the presenting symptoms. We conducted a retrospective analysis of patients admitted to Martin-Luther University Hospital Center from January 1994 to September 2005. In total, 41 patients with centrally dislocated catheter fragments were analyzed. Most catheter fragments were located in the pulmonary artery, superior vena cava, and right atrium. Of the patients in whom the catheter fragments were located in the right atrium, right ventricle, and the pulmonary artery, 7.3% presented cardiac symptoms. Catheter malfunction occurred in 39%. In 53.7%, catheter embolism was found incidentally. The embolized catheter fragments were retrieved by a goose-neck snare under fluoroscopy within 24 hours after the diagnosis without any complications. The mean length of these fragments was 11.6 cm. Catheter embolism may go undiagnosed for a prolonged period and be found incidentally. In these patients, predominantly local symptoms occur; however, severe systemic clinical signs may develop. The risk of serious complications in asymptomatic catheter embolism is unknown. Catheter fragments should be removed to prevent further complications.

show abstract

Late Embolization of an Unfractured Port Catheter into the Heart: Report of a Case

Cited by 15 publications

References 4 publications

Immediate and long-term complications of prolonged-venous-access devices (PVAD): A comparison between surgical cutdown and percutaneous techniques

Immediate and long-term complications of prolonged-venous-access devices (PVAD): A comparison between surgical cutdown and percutaneous techniques

Totally implantable catheter migration and its percutaneous retrieval: case report and review of the literature

Intravenous Port Catheter Embolization: Mechanisms, Clinical Features, and Management

Contact Info

Product

Resources

About