Rupture du cathéter et migration du fragment distal vers les artères pulmonaires : une complication rare des chambres à cathéter implantables

Rebahi, Houssam; Adib, A.G. El; Mouaffak, Y.; Hattaoui, Mustapha El; Chaara, A; Sadek, H.; Khouchani, Mouna; Mahmal, Lahoucine; Younous, S.

doi:10.1016/j.revmed.2013.08.008

Cited by 6 publications

(4 citation statements)

References 32 publications

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“…Several cases have been reported in horses and in a goat 3 5 6. Complications of embolism are widely reported in human medicine, with emboli being gaseous, liquid or solid7 such as thrombi, air or fragments from central venous catheters,8 or from subcutaneous venous access devices 9–12. Potential risks related to a vascular foreign body in human medicine are thrombosis,9 arrhythmias,10 endocarditis,13 septicaemia, lung abscess, pulmonary embolism, perforation and death 14…”

Section: Discussionmentioning

confidence: 99%

“…It occurs during removal of the device or during routine chest imaging 9 16. Acute signs of embolism are rare 11 12. One patient whose fragment had migrated into the coronary sinus reported intermittent palpitations 10.…”

Section: Discussionmentioning

confidence: 99%

“…In human medicine, successful removal of the fragment has been reported in more than 95 per cent of the cases 17. In most cases interventional radiology is preferred 9–12. Different instruments proved to be safe and efficient to catch the fragment: snares, endoscopy forceps and wire baskets 14.…”

Section: Discussionmentioning

confidence: 99%

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Catheter fragment embolism in a dog

Porato¹,

Marolf²,

Etienne

2020

Vet Record Case Reports

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Catheter fragment embolism is a potential complication of peripheral venous catheterisation. A three-year-old male dachshund was treated for a tibial fracture. The anaesthesia, orthopaedic procedure and hospitalisation recovery were uneventful. At the time of venous catheter removal, its breakage was noticed. A catheter tip embolisation was suspected and confirmed in the cephalic vein with radiography and ultrasound. A tourniquet was immediately applied proximally to the elbow. It prevented the catheter tip from further migration and central embolisation. A longitudinal venotomy of the cephalic vein allowed the removal of the fragment. Stitches were removed 10 days later and clinical examination was normal.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Catheter fragment embolism in a dog

Porato¹,

Marolf²,

Etienne

2020

Vet Record Case Reports

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“…A totally implantable venous access port (TIVAP) plays a crucial role in the treatment of patients in oncology [ 1 ]. But, among the late mechanical complications, lesions of the catheter wall represent a rare but potentially severe condition, whose natural history can vary from a partial rupture or catheter malfunction to a complete catheter fracture with embolization of the ruptured fragment [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous fracture and migration of catheter of a totally implantable venous access port via internal jugular vein - a case report

Park

Hwang

et al. 2016

J Cardiothorac Surg

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BackgroundThe totally implantable venous access ports (TIVAPs) are indicated for patients undergoing chemotherapy, total parenteral nutrition and long-term antibiotic treatment. But, among their complications, the fracture and migration of the catheter of a TIVAP via internal jugular vein represents a very rare but potentially severe condition.Case presentationA 50-year-old woman indentified with a spontaneous fracture and migration of catheter of a TIVAP via right internal jugular vein after adjuvant chemotherapy for ovary cancer. She had been not evaluated and not managed with the heparin lock flush solution during three months after adjuvant chemotherapy. And then, she complained right neck bulging during saline infusion via a TIVAP and a chest radiography showed the fractured and migrated catheter of a TIVAP in right atrium. So, we emergently removed the catheter fragment by a goose neck snare via right femoral vein. After then, there was no problem.ConclusionsIf the fractured catheter of a TIVAP is detected, it is desirable to remove a fragment by an endovascular approach if it is possible.

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