[Treatment for pinch-off syndrome using a video-assisted thoracoscopic surgery; report of a case].
Use of a central venous catheter (CVC) may be complicated by a catheter fracture, causing an embolism. Pinch-off syndrome is a recognized complication that develops from the use of implantable subclavian venous access devices. Although rare, as it occurs in only 0.8% of the reported cases, the condition can appear as a complication secondary to the insertion of a CVC. We experienced a case of CVC division in a 26-year-old male who had a CVC implanted through the subclavian vein. We failed in our attempt to remove the catheter fragment using video-assisted thoracoscopic surgery (VATS). If no complication occur over a long-term, it is highly possible that the catheter fragment will become adhered to the vessel wall. Therefore, it may not be necessary to remove the fragment in those cases.
Shimada
J
J
Department of Thoracic Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Yanada
M
M
Nishimura
M
M
Itoh
K
K
Terauchi
K
K
Shimomura
M
M
D000328:Adult; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling; D004868:Equipment Failure; D006801:Humans; D008297:Male; D020775:Thoracic Surgery, Video-Assisted