Percutaneous retrieval of a fractured portacath fragment in two patients undergoing long-term chemotherapy

• Authors: Justyna Norwa , Szymon Darocha , Anna Dobosiewicz , Andrzej Koteja , Arkadiusz Pietrasik , Radosław Pietura , Adam Torbicki , Sebastian Szmit , Marcin Kurzyna
• Languages of publication: EN

Abstracts

EN

The paper discusses two clinical cases of cancer patients undergoing chemotherapy, in whom fractured and displaced tips of portacath catheters were revealed based on plain chest imaging. In the first case, the portacath fragment migrated to the left pulmonary artery, with the missing catheter tip revealed during the procedure of port removal due to its occlusion, with no other prior clinical symptoms. In the second case, the catheter broke off at the level of its entry into the subclavian vein, and migrated into the right cardiac ventricle, which was accompanied by mild pain and oedema in the subclavicular region. Both patients underwent successful procedures of percutaneous foreign body retrieval with the use of endovascular snares. The procedures were performed via femoral vein access, with no complications.

Keywords

EN

cancer; central venous port; chemotherapy; endovascular removal

Discipline

• MEDICINE: MEDICINE

• Publisher: Medical Education
• Journal: OncoReview
• Year: 2016
• Volume: 6
• Issue: 2
• Pages: A57-61

Contributors

author

Justyna Norwa

• Department of Pulmonary Circulation and Thromboembolic Diseases, Centre of Postgraduate Medical Education, European Health Centre Otwock, Otwock, Poland

author

Szymon Darocha

• Department of Pulmonary Circulation and Thromboembolic Diseases, Centre of Postgraduate Medical Education, European Health Centre Otwock, Otwock, Poland

author

Anna Dobosiewicz

• Department of Pulmonary Circulation and Thromboembolic Diseases, Centre of Postgraduate Medical Education, European Health Centre Otwock, Otwock, Poland

author

Andrzej Koteja

• Intensive Care Unit, European Health Centre Otwock, Otwock, Poland

author

Arkadiusz Pietrasik

• I Department of Cardiology, Medical University of Warsaw, Poland

author

Radosław Pietura

• Department of Radiology and Diagnostic Imaging, Independent Public Clinical Hospital No. 1 in Lublin, Poland

author

Adam Torbicki

• Department of Pulmonary Circulation and Thromboembolic Diseases, Centre of Postgraduate Medical Education, European Health Centre Otwock, Otwock, Poland

author

Sebastian Szmit

• Department of Pulmonary Circulation and Thromboembolic Diseases, Centre of Postgraduate Medical Education, European Health Centre Otwock, Otwock, Poland

author

Marcin Kurzyna

• Department of Pulmonary Circulation and Thromboembolic Diseases, Centre of Postgraduate Medical Education, European Health Centre Otwock, Otwock, Poland

References

• 1. Darocha S, Szmit S, Walaszkowska-Czyż A et al. Central venous catheters and complications in cancer patients. OncoReview 2012; 2(3): 194- 198.
• 2. Barbetakis N, Asteriou C, Kleontas A et al. Totally implantable central venous access ports. Analysis of 700 cases. J Surg Oncol 2011; 104(6): 654-656.
• 3. Surov A, Buerke M, John E et al. Intravenous port catheter embolization: mechanisms, clinical features, and management. Angiology 2008; 59: 90-97.
• 4. Pawłowski K, Dorniak W, Trenkner W et al. Percutaneous retrieval of foreign body inducing potentially fatal complex ventricular arrhythmias in a patient with acute myocardial infarction. Post Kardiol Interw 2008; 4, 1(11): 46-48.
• 5. Surov A, Jordan K, Buerke M et al. Atypical pulmonary embolism of port catheter fragments in oncology patients. Support Care Cancer 2006; 14: 479-483.
• 6. Gabelmann A, Kramer S, Gorich J. Percutaneous retrieval of lost or misplaced intravascular objects. Am J Roentgenol 2001; 176: 1509-1513.
• 7. Thomas J, Sinclair-Smith B, Bloomfield D et al. Nonsurgical retrieval of broken segment of steel spring guide from the right atrium and inferior vena cava. Circulation 1964; 30: 106-108.
• 8. Kapadia S, Parakh R, Grover T et al. Catheter fracture and cardiac migration of a totally implantable venous device. Indian J Cancer 2005; 42: 155-157.

• Document Type: article