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Case Reports
. 2016 Apr 11:11:50.
doi: 10.1186/s13019-016-0450-y.

Spontaneous fracture and migration of catheter of a totally implantable venous access port via internal jugular vein--a case report

Seung Yeon Ko  1 , Sun Cheol Park  1 , Jeong Kye Hwang  1 , Sang Dong Kim  2
Affiliations
Case Reports

Spontaneous fracture and migration of catheter of a totally implantable venous access port via internal jugular vein--a case report

Seung Yeon Ko et al. J Cardiothorac Surg. .

Abstract

Background: The totally implantable venous access ports (TIVAPs) are indicated for patients undergoing chemotherapy, total parenteral nutrition and long-term antibiotic treatment. But, among their complications, the fracture and migration of the catheter of a TIVAP via internal jugular vein represents a very rare but potentially severe condition.

Case presentation: A 50-year-old woman indentified with a spontaneous fracture and migration of catheter of a TIVAP via right internal jugular vein after adjuvant chemotherapy for ovary cancer. She had been not evaluated and not managed with the heparin lock flush solution during three months after adjuvant chemotherapy. And then, she complained right neck bulging during saline infusion via a TIVAP and a chest radiography showed the fractured and migrated catheter of a TIVAP in right atrium. So, we emergently removed the catheter fragment by a goose neck snare via right femoral vein. After then, there was no problem.

Conclusions: If the fractured catheter of a TIVAP is detected, it is desirable to remove a fragment by an endovascular approach if it is possible.

Keywords: Catheter fracture; Internal jugular vein; Totally implantable venous access port.

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Figures

Fig. 1
Fig. 1
A totally implantable venous access port (TIVAP) on chest radiography. a Chest radiography shows a TIVAP locates at a appropriate position after TIVAP placement procedure. Arrow indicates a TIVAP. b Chest radiography shows fracture and migration of the catheter of a TIVAP. Arrow indicated the fractured catheter fragment moved into right atrium
Fig. 2
Fig. 2
A procedure of removal of fractured catheter of a totally implantable venous access port (TIVAP). a Chest radiography identified the location of a fractured and moved part of a TIVAP. Arrow indicates the fractured catheter fragment. b A fractured and moved part of a TIVAP was caught by a goose neck snare with angiographic guidance. Arrow indicates a goose neck snare. c The fractured and moved catheter was completely removed
See this image and copyright information in PMC

References

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