[Catheter break in an implantable central venous infusion system with embolization in the pulmonary artery].
A central venous catheter with a subcutaneous infusion port was implanted for chemotherapy into a 64-year-old woman with gastric lymphoma. Six weeks later, two weeks after a trivial trauma with hyperextension of the shoulder joint, it was found that the catheter had broken and its tip portion had embolized into the pulmonary artery: it was retrieved without difficulty via the femoral vein. This event suggests that pressure between clavicle and first rib can cause material fatigue in a silicon catheter. Such catheters should therefore not be implanted via the subclavian vein.
Krause
U
U
Abteilung für Allgemeine Chirurgie, Universität Essen.
Doetsch
N
N
Meusers
P
P
Kock
H J
HJ
D000970:Antineoplastic Agents / Q000008:administration & dosage; D002405:Catheterization, Central Venous; D002408:Catheters, Indwelling; D005260:Female; D006801:Humans; D007262:Infusions, Intravenous; D008223:Lymphoma / Q000188:drug therapy; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000209:etiology*; D000070599:Shoulder Injuries; D013274:Stomach Neoplasms / Q000188:drug therapy
D000970:Antineoplastic Agents
Katheterbruch eines implantierbaren zentralvenösen Infusionssystems mit Embolisation in die Arteria pulmonalis.