title: [Fracture and embolization of implantable subclavian venous catheter fragments due to costoclavicular compression: pinch-off syndrome].
abstract: The fracture of an implantable subclavian venous access device and the subsequent embolization of a catheter fragment is a known complication that is usually associated with a set of clinical and radiologic signs of costoclavicular compression. This scenario is also known as pinch-off syndrome. We describe 2 cases of venous port fracture which led us to review the efficacy of follow-up procedures used in our hospital. As a result, we added instructions for radiologic and clinical verification of catheter placement, taking into consideration the dynamic nature of compression. We also established protocols for coordinating the involvement of different services.
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Virgen del Camino, Pamplona. helen_pez@hotmail.com
authors.forename: E
authors.initials: E
authors.lastname: Pérez Bergara
authors.forename: A
authors.initials: A
authors.lastname: Pavón Benito
authors.forename: T
authors.initials: T
authors.lastname: Lánderer Vázquez
authors.forename: M
authors.initials: M
authors.lastname: Salvador Bravo
authors.forename: M
authors.initials: M
authors.lastname: Aizcorbe Garralda
authors.forename: O
authors.initials: O
authors.lastname: Zugasti