Journal List > J Korean Surg Soc > v.79(Suppl 1) > 1011230

Choi, Yang, Ryu, Jang, Lee, Song, and Sun: Successful Removal of a Migrated Catheter of Chemoport in Right Atrium

Abstract

The use of totally implantable central venous access devices (chemoport) has increased with the development of chemotherapeutic agents in oncologic patients, especially with no venous access site. However, there can be various complications such as port site infection, thromboembolism, injury of central vein, fracture of catheter, and migration of catheter. We report a rare case of migration of catheter to right atrium due to the separation of the catheter from the chemoport.

Figures and Tables

Fig. 1
Chest PA shows the chemoport in the anterior chest wall (arrow head), the migrated catheter tip in right atrium (arrow A), and the other end of the migrated catheter tip in IVC (arrow B). IVC = inferior vena cava.
jkss-79-S54-g001
Fig. 2
Fluoroimages show the migrated catheter in right atrium and IVC. IVC = inferior vena cava.
jkss-79-S54-g002
Fig. 3
Fluoroimages show the diagnostic catheter placed in right atrium (A). The migrated catheter was entrapped with a Multi-Snare® (B, C), and withdrawn (D, E), and the catheter was retrieved via right femoral vein successfully (F).
jkss-79-S54-g003

References

1. Trerotola SO, Kuhn-Fulton J, Johnson MS, Shah H, Ambrosius WT, Kneebone PH. Tunneled infusion catheters: increased incidence of symptomatic venous thrombosis after subclavian versus internal jugular venous access. Radiology. 2000. 217:89–93.
2. Binnebosel M, Grommes J, Junge K, Gobner S, Schumpelick V, Truong S. Internal jugular vein thrombosis presenting as a painful neck mass due to a spontaneous dislocated subclavian port catheter as long-term complication: a case report. Cases J. 2009. 2:7991.
3. Charvat J, Linke Z, Horaekova M, Prausova J. Implantation of central venous ports with catheter insertion via the right internal jugular vein in oncology patients: single center experience. Support Care Cancer. 2006. 14:1162–1165.
4. Kock HJ, Pietsch M, Krause U, Wilke H, Eigler FW. Implantable vascular access systems: experience in 1500 patients with totally implanted central venous port systems. World J Surg. 1998. 22:12–16.
5. Cheng CC, Tsai TN, Yang CC, Han CL. Percutaneous retrieval of dislodged totally implantable central venous access system in 92 cases: experience in a single hospital. Eur J Radiol. 2009. 69:346–350.
6. Kim OK, Kim SH, Kim JB, Jeon WS, Jo SH, Lee JH, et al. Transluminal removal of a fractured and embolized indwelling central venous catheter in the pulmonary artery. Korean J Intern Med. 2006. 21:187–190.
7. Perez Bergara E, Pavon Benito A, Landerer Vazquez T, Salvador Bravo M, Aizcorbe Garralda M, Zugasti O. Fracture and embolization of implantable subclavian venous catheter fragments due to costoclavicular compression: pinch-off syndrome. Rev Esp Anestesiol Reanim. 2009. 56:115–118.
8. Lenglinger FX, Hartl P, Kirchgatterer A, Lenglinger GM, Baldinger C. Fracture and embolization of a central venous port catheter without prior compression between the clavicle and the 1st rib. Wien Klin Wochenschr. 2001. 113:134–137.
TOOLS
Similar articles