Intravascular disruption of central venous ports.
Intravasal catheter disruption is a rare complication of central venous ports. Main causes are chronic trauma due to compression of the catheter between clavicle and first rib, or primary damage by sharp instruments during insertion. Utilizing the subclavian route, a more lateral insertion can minimize the risk of catheter compression. Regular postoperative X-ray controls can help to recognize progressive catheter compression. In the case of significant compression, early replacement is advisable to avoid disruption. Percutaneous transvenous snare technique is the therapy of choice to retrieve dislocated fragments.
Zieren
J
J
Department of Surgery, Charité, Humboldt University of Berlin, Schumannstrasse 20/21 Berlin D-10117 Germany.
Thul
P
P
Romaniuk
P
P
Müller
J M
JM
D000368:Aged; D000970:Antineoplastic Agents / Q000008:administration & dosage; D002405:Catheterization, Central Venous; D002408:Catheters, Indwelling; D003110:Colonic Neoplasms / Q000188:drug therapy; D004868:Equipment Failure; D005260:Female; D006801:Humans; D008297:Male; D008339:Mandibular Neoplasms / Q000188:drug therapy; D008875:Middle Aged; D011859:Radiography; D013350:Subclavian Vein / Q000000981:diagnostic imaging; D002583:Uterine Cervical Neoplasms / Q000188:drug therapy
D000970:Antineoplastic Agents