Dislocation of central venous catheters in paediatric patients.
Children have limited venous access possibilities; therefore, when long-term therapy is necessary, it is better to place a catheter in a central vein. The Port catheter, totally implanted, is less exposed to the risk of infection and permits a normal life. However, there is the possibility of the displacement or fragmentation of the catheter that can be diagnosed initially only by clinical symptoms and later by a chest X-ray. We report a case of disconnection between the Port catheter and the reservoir resulting in catheter migration to the left pulmonary artery.
Giretti
R
R
Anesthesia and Intensive Care Unit, Ospedali Riuniti di Ancona, Presidio Materno-Infantile G. Salesi, Ancona, Italy. robertogiretti@libero.it
Caruselli
M
M
Zannini
R
R
de Vivo
E
E
Piattellini
G
G
Bechi
P
P
Catani
F
F
Amici
M
M
Santelli
F
F
Pagni
R
R
D006328:Cardiac Catheterization; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation*; D002408:Catheters, Indwelling / Q000009:adverse effects; D002675:Child, Preschool; D020878:Device Removal; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D008059:Mucopolysaccharidosis I / Q000628:therapy; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000473:pathology; D013902:Radiography, Thoracic; D013350:Subclavian Vein / Q000000981:diagnostic imaging / Q000601:surgery