Fracture and atypical migration of an implantable central venous access device

Mirela Mery 1 Stéphanie Palengat 1 Romaric Loffroy 2, 3, * Magali Vernet 1 Pascal Matet 1 Violaine Cherblanc 4
* Auteur correspondant
1 Département de Chirurgie générale, Hôpital Philippe le Bon, Beaune
2 Le2i - Laboratoire Electronique, Informatique et Image [UMR6303]
3 Department vascular, oncologic ans interventional radiology (CHU de Dijon)
4 Département de radiologie, Hôpital Philippe le Bon, Beaune
Abstract : Distal embolization of a fractured indwelling central catheter is a rare complication. The pinch-off syndrome (POS) should be known, prevented and early detected. We present a case in which further radiological exams were required to find the fragmented catheter with an atypical migration, requiring local surgery for removing. After chest and abdominal CT scan, neck X-ray, and heart echography, the catheter was found on the lower limbs X-ray on the internal side of right knee corresponding to a location of saphenous vein. Implanted catheters should be removed after completion of treatment and the integrity of the system should be monitored. To avoid POS, a catheter must be inserted into the subclavian vein as laterally as possible.
Keywords : Central venous access migration pinch-off syndrome (POS) surgery
Type de document :
Article dans une revue
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https://hal-univ-bourgogne.archives-ouvertes.fr/hal-01431425
Contributeur : Le2i - Université de Bourgogne <>
Soumis le : mardi 10 janvier 2017 - 18:20:34
Dernière modification le : mercredi 12 septembre 2018 - 01:26:31

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Mirela Mery, Stéphanie Palengat, Romaric Loffroy, Magali Vernet, Pascal Matet, et al.. Fracture and atypical migration of an implantable central venous access device. Quantitative Imaging in Medicine and Surgery, AME Publishing, 2016, 6 (3), pp.312 - 314. ⟨10.21037/qims.2016.06.01⟩. ⟨hal-01431425⟩

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