title: [Abnormal catheter mobility in a totally implantable venous access depending on the upright or supine position in an obese patient].
abstract: The authors advise on an exceptional complication in a totally implantable venous access and give recommendations on how to avoid this problem. In an obese person, one week after the implantation of a totally implantable venous access, a chest X-ray showed that the catheter was too short. In the operative room, at the time of the second intervention, the radioscopy did not find this anomaly. The subcutaneous injection port was positioned too low. When the patient was in a supine position, the subcutaneous injection port was in the correct position but when she was in an upright position, the breast descended and pulled down the subcutaneous injection port and the catheter.
authors.affiliation: Clinique chirurgicale A, CHU, Hôtel-Dieu, 44093 Nantes, France. bernardp@club-internet.fr
authors.forename: P
authors.initials: P
authors.lastname: Bernard
authors.forename: S
authors.initials: S
authors.lastname: Vrignaud
authors.forename: E
authors.initials: E
authors.lastname: Letessier
authors.forename: F
authors.initials: F
authors.lastname: Denimal
authors.forename: J C
authors.initials: JC
authors.lastname: Le Néel
mesh_terms: D002404:Catheterization / Q000009:adverse effects / Q000295:instrumentation*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D006801:Humans; D007601:Jugular Veins; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications*; D013902:Radiography, Thoracic