Catheter Fracture of a Totally Implantable Venous Device Due to Pinch Off Syndrome in Breast Cancer: A Case Report

Yoonseok Kim

doi:10.7180/kmj.2016.31.2.167

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Kim: Catheter Fracture of a Totally Implantable Venous Device Due to Pinch Off Syndrome in Breast Cancer: A Case Report

Original Article

Kosin Medical Journal 2016;31(2):167-172.

Published online: 20 January 2016

DOI: https://doi.org/10.7180/kmj.2016.31.2.167

Catheter Fracture of a Totally Implantable Venous Device Due to Pinch Off Syndrome in Breast Cancer: A Case Report

Yoonseok Kim

Department of Surgery, Busan Adventist Hospital, Busan, Korea

Corresponding Author: Yoonseok Kim, Department of Surgery, Busan Adventisti Hospital, 170, Daeti-ro, Seo-gu, Busan 49230, Korea Tel: +82-51-600-7707 Fax: +82-51-242-0407 E-mail: mammomaster@naver.com

Received 6 March 20156 March 2015 Accepted 8 April 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Totally implantable venous devices are used in medical care for parenteral nutrition, vascular access, administrating chemotherapeutic agents and so on. Although the large variety of catheter complications, catheter fracture is a rare but serious complication. The pinch off syndrome is caused by the compression of the catheter between the clavicle and first rib, and may lead to fracture and possible dislocation of the catheter. We report here the case history of a patient with metastatic breast cancer who developed a rare complication of subclavian catheter fracture as a consequence of pinch off syndrome.

Keywords: Complications, Incidents, Vascular access devices

References

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Fig. 1.

Chest X-ray on admission. This examination showed a complete fracture of catheter.

Fig. 2.

Chest X-ray after port insertion. A close-up of the left clavicle area (circled area) showed a slight compression of the catheter (Hinke's Grade 2).

Fig. 3.

Flouroscopic guided foreign body removal through right femoral vein.

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