Catheter fracture: A rare complication of totally implantable subclavian venous access devices
| Autor: | Bernhard C. Pestalozzi, H. P. Klotz, Wolfgang Schöpke, Felix Largiadèr, Arnold Kohler |
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| Rok vydání: | 1996 |
| Předmět: |
Adult
Catheterization Central Venous medicine.medical_specialty Breast Neoplasms Subclavian Vein Catheters Indwelling Humans Medicine Rib cage business.industry Carcinoma Pharyngeal Neoplasms General Medicine Leukemia Lymphocytic Chronic B-Cell Venous access Surgery Radiography Catheter medicine.anatomical_structure Oncology Clavicle Fracture (geology) Equipment Failure Female business Complication Literature survey Subclavian vein |
| Zdroj: | Journal of Surgical Oncology. 62:222-225 |
| ISSN: | 1096-9098 0022-4790 |
| DOI: | 10.1002/(sici)1096-9098(199607)62:3<222::aid-jso14>3.0.co;2-8 |
| Popis: | Catheter fracture represents a rare problem among non-infectious complications following the insertion of totally implantable long-term central venous access systems for the application of chemotherapeutic agents. A literature survey revealed a total incidence of catheter fractures of 0-2.1%. Imminent catheter fracture can be identified radiologically, using different degrees of catheter narrowing between the clavicle and the first rib, called pinch-off sign. Two cases of catheter fracture are described and potential causes are discussed. Recommendations to avoid the pinch-off sign with the subsequent risk of catheter fracture and migration include a more lateral and direct puncture of the subclavian vein. In case of catheter narrowing in the clavicular-first rib angle, patients should be followed carefully by chest X-rays every 4 weeks. Whenever possible, the system should be removed within 6 months following insertion. |
| Databáze: | OpenAIRE |
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