Catheter fracture and embolisation in a totally implanted venous access catheter (TIVAC) following shoulder trauma.
A totally implanted intravenous catheter (TIVAC) was placed via the subclavian vein in a 32-year-old male patient with HIV infection for intermittent drug therapy. 8 months after insertion, a catheter fracture was noted with embolisation of the distal part into the heart. This accident was related to shoulder trauma with a downward movement of the clavicle. In active patients alternatives to the subclavian approach for TIVAC need to be considered.
Chassard
D
D
Department of Anesthesia and Intensive Care, Hôtel-Dieu Hospital, 69002 Lyon, France.
Bovis
F
F
Paton
P
P
Gelas
P
P
Guiraud
M
M
Bouletreau
P
P