Abstract
A case of spontaneous fracture of a catheter of a totally implantable venous access port is described. A totally implantable venous access port was placed in a 62-year-old male patient with short bowel syndrome for home parenteral nutrition. Thirteen months after implantation it was noted on chest X-ray that the catheter had fractured and the distal fragment embolized to the right atrium. The embolized catheter fragment was retrieved viaa percutaneous femoral vein approach using a basket catheter. The catheter inserted using the percutaneous subclavian puncture technique has been broken due to the long-standing compression at the narrow space between the clavicle and first rib. Catheter fracture is a relatively rare, but avoidable complication by introducing the catheter lateral to the midclavicular point.
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Schedule a callMore From: The journal of the Japanese Practical Surgeon Society
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