Extravascular migration of the catheter. A rare complication of the totally implantable venous device.
Since the first report of TIVD implantation, many authors have published immediate and post-operative complications. The Authors report the first case in which the catheter, implanted via the cephalic vein by cutdown technique, has migrated completely out of the vein. In order to avoid extravascular migration, during the surgical procedure, the catheter should be fixed at the vein with nonabsorbable sutures, taking care to avoid narrowing the catheter lumen. This case report discusses the possibility of catheter migration when a TIVD fails to function properly and considers how to avoid more disastrous effects.
Di Carlo
I
I
First Surgical Clinic, University of Catania, Catania, Italy. idicarlo@mbox.unict.it
Randazzo
V
V
Russello
D
D
Latteri
F
F
D000970:Antineoplastic Agents / Q000008:administration & dosage; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D003110:Colonic Neoplasms / Q000188:drug therapy; D005260:Female; D005548:Foreign-Body Migration / Q000175:diagnosis*; D006801:Humans; D008875:Middle Aged; D014683:Vena Cava, Superior; D016748:Venous Cutdown
D000970:Antineoplastic Agents