Percutaneous transfemoral repositioning of malpositioned central venous access device: a report of two cases.
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.
Chauhan
Ashutosh
A
Department of Surgical Oncology, Army Hospital (R & R), Delhi, India.
Pathak
Kamal
K
Ganguly
Manomoy
M
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*