title: Fracture and atypical migration of an implantable central venous access device.
abstract: Distal embolization of a fractured indwelling central catheter is a rare complication. The pinch-off syndrome (POS) should be known, prevented and early detected. We present a case in which further radiological exams were required to find the fragmented catheter with an atypical migration, requiring local surgery for removing. After chest and abdominal CT scan, neck X-ray, and heart echography, the catheter was found on the lower limbs X-ray on the internal side of right knee corresponding to a location of saphenous vein. Implanted catheters should be removed after completion of treatment and the integrity of the system should be monitored. To avoid POS, a catheter must be inserted into the subclavian vein as laterally as possible.
authors.affiliation: Department of General Surgery, Philippe le Bon Hospital, Beaune, France ;
authors.forename: Mirela
authors.initials: M
authors.lastname: Mery
authors.affiliation: Department of General Surgery, Philippe le Bon Hospital, Beaune, France ;
authors.forename: Stéphanie
authors.initials: S
authors.lastname: Palengat
authors.affiliation: Department of Vascular, Oncologic and Interventional Radiology Surgery, François-Mitterrand Teaching Hospital, Dijon, France ;
authors.forename: Romaric
authors.initials: R
authors.lastname: Loffroy
authors.affiliation: Department of General Surgery, Philippe le Bon Hospital, Beaune, France ;
authors.forename: Magali
authors.initials: M
authors.lastname: Vernet
authors.affiliation: Department of General Surgery, Philippe le Bon Hospital, Beaune, France ;
authors.forename: Pascal
authors.initials: P
authors.lastname: Matet
authors.affiliation: Department of Radiology, Philippe le Bon Hospital, Beaune, France.
authors.forename: Violaine
authors.initials: V
authors.lastname: Cherblanc
keywords: Central venous access; migration; pinch-off syndrome (POS); surgery