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Fracture and atypical migration of an implantable central venous access device

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.
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Contributeur : LE2I - université de Bourgogne Connectez-vous pour contacter le contributeur
Soumis le : mardi 10 janvier 2017 - 18:20:34
Dernière modification le : vendredi 5 août 2022 - 14:54:00

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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, 2016, 6 (3), pp.312 - 314. ⟨10.21037/qims.2016.06.01⟩. ⟨hal-01431425⟩



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