Abstract
BackgroundTotally implantable venous access devices are widely used for infusion of chemotherapy or parenteral nutrition. Device associated complications include technical operative problems, infections, paravasal infusions and catheter or punction chamber dislocation.Case presentationWe present the case of a 49-year-old patient with the rare complication of a intrapulmonal catheter dislocation of a totally implantable venous access system. Treosulfane for chemotherapy of metastatic breast cancer was infused via the catheter causing instant coughing and dyspnoea which lead to the diagnosis of catheter dislocation. The intrapulmonal part of the catheter was removed under thoracoscopic control without further complications.ConclusionIntrapulmonal catheter dislocation is a rare complication of a totally implantable venous access device which can not be avoided by any prophylactic measures. Therefore, the infusion system should be tested before each use and each new symptom, even when not obviously related to the catheter should be carefully documented and evaluated by expert physicians to avoid severe catheter-associated complications.
Highlights
Implantable venous access devices are widely used for infusion of chemotherapy or parenteral nutrition [14]
We present the case of a patient with the rare complication of an intrapulmonal catheter dislocation in a totally implantable venous access system
Further radiological diagnostics including injection of contrast medium into the catheter documented a dislocation of the catheter tip into the upper lobe of the right lung with paravasation into the bronchial system
Summary
Intrapulmonal dislocation of the catheter tip is a rare complication of a totally implantable venous access device. All authors have read and approved the manuscript in the presented form
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