[Fracture and embolization of implantable subclavian venous catheter fragments due to costoclavicular compression: pinch-off syndrome].
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.
Pérez Bergara
E
E
Servicio de Anestesiología y Reanimación, Hospital Virgen del Camino, Pamplona. helen_pez@hotmail.com
Pavón Benito
A
A
Lánderer Vázquez
T
T
Salvador Bravo
M
M
Aizcorbe Garralda
M
M
Zugasti
O
O