title: Spontaneous fracture and migration of catheter of a totally implantable venous access port via internal jugular vein--a case report.
abstract: BACKGROUND
  The totally implantable venous access ports (TIVAPs) are indicated for patients undergoing chemotherapy, total parenteral nutrition and long-term antibiotic treatment. But, among their complications, the fracture and migration of the catheter of a TIVAP via internal jugular vein represents a very rare but potentially severe condition.
  
  
  METHODS
  A 50-year-old woman indentified with a spontaneous fracture and migration of catheter of a TIVAP via right internal jugular vein after adjuvant chemotherapy for ovary cancer. She had been not evaluated and not managed with the heparin lock flush solution during three months after adjuvant chemotherapy. And then, she complained right neck bulging during saline infusion via a TIVAP and a chest radiography showed the fractured and migrated catheter of a TIVAP in right atrium. So, we emergently removed the catheter fragment by a goose neck snare via right femoral vein. After then, there was no problem.
  
  
  CONCLUSIONS
  If the fractured catheter of a TIVAP is detected, it is desirable to remove a fragment by an endovascular approach if it is possible.
authors.affiliation: Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Seung Yeon
authors.initials: SY
authors.lastname: Ko
authors.affiliation: Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Sun Cheol
authors.initials: SC
authors.lastname: Park
authors.affiliation: Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Jeong Kye
authors.initials: JK
authors.lastname: Hwang
authors.affiliation: Department of Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 56 Dongsu-ro, Bupyong-Gu, Incheon, 403-720, Korea. kkssddong@catholic.ac.kr.
authors.forename: Sang Dong
authors.initials: SD
authors.lastname: Kim
mesh_terms: D002405:Catheterization, Central Venous / Q000295:instrumentation*; D002408:Catheters, Indwelling; D017024:Chemotherapy, Adjuvant; D004724:Endoscopy; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging* / Q000601:surgery; D006325:Heart Atria / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007601:Jugular Veins; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000188:drug therapy; D011859:Radiography
keywords: Catheter fracture; Internal jugular vein; Totally implantable venous access port