Volume 4 Supplement 1

8th WINFOCUS World Congress on Ultrasound in Emergency and Critical Care

Open Access

A complication of port-a-cath: disconnection and migration of central venous catheter to pulmonary artery. A case report.

  • Maria Farré Pinilla1Email author,
  • S Enriquez Bargalló1,
  • N Garcia Ruiz1,
  • P Espachs Biel1,
  • J Vilà Justribó1 and
  • A Montero Matamala1
Critical Ultrasound Journal20124(Suppl 1):A24

DOI: 10.1186/2036-7902-4-S1-A24

Published: 18 December 2012

A 50 year old woman, with breast cancer undergoing chemotherapy. Login to removal because of the disconnection between the catheter and the subcutaneous port, diagnosed in routine check. In this case the X-ray showed the disconnection between the catheter and the subcutaneous port. And the consequent migration of the catheter, through cardiac cavities, into the pulmonary artery. Embolized catheter was removed by interventional radiology, under local anesthesia and intravenous sedation.The retrieval of the fragment was performed successfully using a snare catheter passed through the right femoral vein.

Discussion

The central venous cannulation and placement of permanent vascular access is a common technique in cancer patients. This is an invasive procedure, non-therapeutic or curative in itself, which can lead to serious complications, even death.

The iconography of this case demonstrates a mechanical complication, potentially severe and rare placement of a port-a-cath. Embolized catheters can be removed by interventional radiology without significant adverse affects. The patient recovered without complications.

Authors’ Affiliations

(1)
Department of Anesthesiology, Hospital Arnau de Vilanova

References

  1. Subramaniam A, Kim KH, Bryant SA, Kimball KJ, Huh WK, Straughn JM, Estes JM, Alvarez RD: Incidence of mechanical malfunction in low-profile subcutaneous implantable venous access devices in patients receiving chemotherapy for gynecologic malignancies. Gynecol Oncol 2011,123(1):54–7. Epub 2011 Jul 13 10.1016/j.ygyno.2011.06.012PubMedView ArticleGoogle Scholar
  2. Heibl C, Trommet V, Burgstaller S, Mayrbaeurl B, Baldinger C, Koplmüller R, Kühr T, Wimmer L, Thaler J: Complications associated with the use of Port-a-Caths in patients with malignant or haematological disease: a single-centre prospective analysis. Eur J Cancer Care (Engl) 2010,19(5):676–81. Epub 2009 Aug 25 10.1111/j.1365-2354.2009.01115.xView ArticleGoogle Scholar
  3. Surov A, Wienke A, Carter JM, Stoevesandt D, Behrmann C, Spielmann RP, Werdan K, Buerke M: Intravascular embolization of venous catheter--causes, clinical signs, and management: a systematic review. JPEN J Parenter Enteral Nutr 2009,33(6):677–85. Epub 2009 Aug 12 10.1177/0148607109335121PubMedView ArticleGoogle Scholar
  4. Debourdeau P, Zammit C, Pavic M, Bensaid B, Farge-Bancel D: Venous thromboembolism associated with long-term use of central venous catheters in cancer patients]. Rev Med Interne 2007,28(7):471–83. Epub 2007 Apr 19 10.1016/j.revmed.2007.03.002PubMedView ArticleGoogle Scholar

Copyright

© Pinilla et al; licensee Springer. 2012

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.