title: Percutaneous transfemoral repositioning of malpositioned central venous access device: a report of two cases.
abstract: Placement of long term central venous access devices (CVAD) such as chemo ports and Hickman's catheters are associated with a definite risk of catheter tip malpositioning. As such, malpositioning runs a risk of venous thrombosis and related complications; it is imperative to reposition the catheter. Percutaneous transfemoral venous approach has been described as a minimally invasive and safe method for the repositioning. We present two cases in which the CVAD implanted in one subclavian vein got malpositioned in contra lateral subclavian vein. A percutaneous transfemoral venous approach utilizing 5 Fr angiographic catheter was successful in repositioning of the catheters in both cases.
authors.affiliation: Department of Surgical Oncology, Army Hospital (R & R), Delhi, India.
authors.forename: Ashutosh
authors.initials: A
authors.lastname: Chauhan
authors.forename: Kamal
authors.initials: K
authors.lastname: Pathak
authors.forename: Manomoy
authors.initials: M
authors.lastname: Ganguly
mesh_terms: D000328:Adult; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D020878:Device Removal / Q000379:methods*; D004868:Equipment Failure; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional; D014656:Vascular Surgical Procedures / Q000379:methods*