Katheterbruch eines implantierbaren zentralvenösen Infusionssystems mit Embolisation in die Arteria pulmonalis

Autor: Meusers P, Kock Hj, Doetsch N, Krause U
Rok vydání: 2008
Předmět:
Zdroj: DMW - Deutsche Medizinische Wochenschrift. 114:1882-1884
ISSN: 1439-4413
0012-0472
DOI: 10.1055/s-2008-1066843
Popis: A central venous catheter with a subcutaneous infusion port was implanted for chemotherapy into a 64-year-old woman with gastric lymphoma. Six weeks later, two weeks after a trivial trauma with hyperextension of the shoulder joint, it was found that the catheter had broken and its tip portion had embolized into the pulmonary artery: it was retrieved without difficulty via the femoral vein. This event suggests that pressure between clavicle and first rib can cause material fatigue in a silicon catheter. Such catheters should therefore not be implanted via the subclavian vein.
Databáze: OpenAIRE