Kosin Med J.  2016 Dec;31(2):167-172. 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

• Kim Y

• KMID: 2365241
• DOI: http://doi.org/10.7180/kmj.2016.31.2.167

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.

Keyword

Complications; Incidents; Vascular access devices

MeSH Terms

Breast Neoplasms*
Breast*
Catheters*
Clavicle
Dislocations
Humans
Parenteral Nutrition
Ribs
Vascular Access Devices

Figure

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  Fig. 1. Chest X-ray on admission. This examination showed a complete fracture of catheter.

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  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).

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  Fig. 3. Flouroscopic guided foreign body removal through right femoral vein.

Reference

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