Spontaneous migration of totally implanted venous catheter systems from subclavian into jugular veins.

Roblin, D. G.; Porter, Joanna C.; Knight, R.K.

doi:10.1136/thx.49.3.281

Cited by 15 publications

(13 citation statements)

References 4 publications

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“…It is believed that migration of the catheter tip may be a function of physical forces acting on the catheter [28]. Migrated catheters should be replaced to prevent further complications [28,29]. Catheter migration should not be a reason for catheter removal [25].…”

Section: Catheter Migrationmentioning

confidence: 99%

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Port Catheter Insufficiency: Incidence and Clinical-Radiological Correlations

Surov

Jordan²,

Buerke³

et al. 2008

Onkologie

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Background: The purpose of this study was to analyse the radiological findings and corresponding clinical signs in patients with port catheter insufficiency. Patients and Methods: In this single-centre retrospective study, 1,185 totally implantable port devices were implanted from January 1997 to December 2005. Patients with suspected port insufficiency receiving a port angiography were evaluated, and patient files were analysed for the accompanying clinical signs of the port malfunction. Results: In this period, 186 port angiographies were obtained. In all, 223 radiological findings were identified, which translates into a complication rate of 18.9% in regard to all im-planted ports (aip). The complications were as follows: port catheter thrombosis (53.4%, 10% aip), pinch off syndrome (24.2%, 4.6% aip), catheter migration (7.2%, 1.4% aip), catheter retraction (6.3%, 1.2% aip), catheter rupture (4.0%, 0.8% aip), catheter disconnection (3.1%, 0.6% aip), and port chamber defect (1.8%, 0.3% aip). The main clinical symptoms included blood aspiration impossibility, resistance to injection of fluids, chest wall swelling, and pain during injection. Conclusions: The knowledge of the different types of port catheter insufficiencies in correspondence with the possible associated clinical signs plays a key role in the recognition and prevention of further port-associated complications such as paravasation.

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Section: Catheter Migrationmentioning

confidence: 99%

“…We assume that the catheter fixation between the clavicle and the first rib might play a role. It is believed that migration of the catheter tip may be a function of physical forces acting on the catheter [28]. Migrated catheters should be replaced to prevent further complications [28,29].…”

Section: Catheter Migrationmentioning

confidence: 99%

Port Catheter Insufficiency: Incidence and Clinical-Radiological Correlations

Surov

Jordan²,

Buerke³

et al. 2008

Onkologie

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“…Venous flow and negative inspiratory pressure in the thoracic cavity may play a key role for moving the parts of catheters from subclavian vein to the right atrium, right ventricle and pulmonary trunk. The fragment of a fractured central venous catheter was successfully removed from different intravascular segments by using snare-loop catheter [3,4]. Harikrishnan et al showed that this technique is practical and reliable for retrieval of friable catheter fragments [5].…”

Section: Discussionmentioning

confidence: 99%

Percutaneous removal of two intracardiac and pulmonary trunkal catheter fragment by using a snare-loop catheter

Dağdelen

Yüce

Çağlar

2007

International Journal of Cardiology

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“…The mechanism of spontaneous migration is not fully understood. It is believed that migration of the catheter tip may be the result of physical forces acting on the catheter [44]. Migrated catheters should be replaced to prevent further complications.…”

Section: Migration Of the Catheter Tip Into The Jugular Veinmentioning

confidence: 99%

“…Migrated catheters should be replaced to prevent further complications. If the former position is ideal, snaring and pulling it down into the superior cava vein may be attempted [44,45].…”

Section: Migration Of the Catheter Tip Into The Jugular Veinmentioning

confidence: 99%

Venous Access Ports: Frequency and Management of Complications in Oncology Patients

Jordan¹,

Behlendorf²,

Surov

et al. 2008

Onkologie

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Totally implantable venous access ports have been in use now for over 20 years. They are valuable instruments for long-term intravenous treatment of patients with cancer. Apart from perioperative difficulties, the typical complications associated with venous access ports are venous thrombosis, port infection, extravasation, pinch off syndrome, dislocation, occlusion and catheter leakages. The vast majority of these complications are avoidable, or at least the complication rate can be reduced with health care personnel training and education of patients. This review will give a broad overview on the frequency and possible complications related to port devices. Furthermore, this review suggests strategies for management including proposals to avoid such complications.

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Spontaneous migration of totally implanted venous catheter systems from subclavian into jugular veins.

Abstract: Two cases of migration of totally implanted catheter systems are described. The complication is potentially life threatening. (Thorax 1994;49:281-282)

Cited by 15 publications

References 4 publications

Port Catheter Insufficiency: Incidence and Clinical-Radiological Correlations

Port Catheter Insufficiency: Incidence and Clinical-Radiological Correlations

Percutaneous removal of two intracardiac and pulmonary trunkal catheter fragment by using a snare-loop catheter

Venous Access Ports: Frequency and Management of Complications in Oncology Patients

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