1. Fracture and atypical migration of an implantable central venous access device
- Author
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Pascal Matet, Magali Vernet, Mirela Mery, Romaric Loffroy, Violaine Cherblanc, Stéphanie Palengat, Département de Chirurgie générale, Hôpital Philippe le Bon, Beaune, Hôpital Philippe le Bon, Beaune, Laboratoire Electronique, Informatique et Image ( Le2i ), Université de Bourgogne ( UB ) -Centre National de la Recherche Scientifique ( CNRS ) -AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement, Department vascular, oncologic ans interventional radiology (CHU de Dijon), Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand ( CHU Dijon ), Département de radiologie, Hôpital Philippe le Bon, Beaune, Laboratoire Electronique, Informatique et Image [UMR6306] (Le2i), Université de Bourgogne (UB)-École Nationale Supérieure d'Arts et Métiers (ENSAM), Arts et Métiers Sciences et Technologies, HESAM Université (HESAM)-HESAM Université (HESAM)-Arts et Métiers Sciences et Technologies, HESAM Université (HESAM)-HESAM Université (HESAM)-AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Centre National de la Recherche Scientifique (CNRS), Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon), Université de Bourgogne (UB)-Centre National de la Recherche Scientifique (CNRS)-École Nationale Supérieure d'Arts et Métiers (ENSAM), and HESAM Université (HESAM)-HESAM Université (HESAM)-AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement
- Subjects
medicine.medical_specialty ,Central venous access ,[SDV.IB.IMA]Life Sciences [q-bio]/Bioengineering/Imaging ,Central catheter ,Distal embolization ,Abdominal ct ,education ,Case Report ,[SDV.IB.MN]Life Sciences [q-bio]/Bioengineering/Nuclear medicine ,[SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery ,migration ,[ SDV.IB.MN ] Life Sciences [q-bio]/Bioengineering/Nuclear medicine ,surgery ,03 medical and health sciences ,0302 clinical medicine ,030225 pediatrics ,medicine ,Radiology, Nuclear Medicine and imaging ,[ SDV.IB ] Life Sciences [q-bio]/Bioengineering ,[ SDV.MHEP.CHI ] Life Sciences [q-bio]/Human health and pathology/Surgery ,Vein ,[ SDV.IB.IMA ] Life Sciences [q-bio]/Bioengineering/Imaging ,pinch-off syndrome (POS) ,business.industry ,3. Good health ,Surgery ,Venous access ,Catheter ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,[SDV.IB]Life Sciences [q-bio]/Bioengineering ,Radiology ,business ,Complication ,Subclavian vein - Abstract
International audience; 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.
- Published
- 2016