Advertisement

Indian Journal of Surgical Oncology

, Volume 9, Issue 4, pp 595–597 | Cite as

Catheter Fracture of Subclavian Venous Chemoport Device at Costoclavicular Junction: Pinch-off Syndrome

  • Vineet Goel
  • Naveen KumarEmail author
  • Vivek Saxena
  • Harit Chaturvedi
Case Report
  • 16 Downloads

Abstract

Chemoport is most commonly used venous access devices for instillation of chemotherapeutic drugs in cancer care. Mechanical complications like catheter fracture can lead to serious morbidity, albeit occurring rarely. We present a case of a 35-year-old lady, a case of carcinoma breast, who had spontaneous fracture of chemoport access device in subclavian vein at the level of clavicle after four successful cycles of chemotherapy. The fracture was suspected on chest x-ray and was subsequently confirmed on contrast linogram. The patient was successfully managed with endovascular interventional technique without suffering any ill effects. It is a rare presentation of pinch-off syndrome.

Keywords

Chemoport Contrast linogram Pinch-off syndrome 

References

  1. 1.
    Biffi R, de Braud F, Orsi F, Pozzi S, Mauri S, Goldhirsch A, Nolè F, Andreoni B (1998) Totally implantable central venous access ports for long-term chemotherapy. A prospective study analyzing complications and costs of 333 devices with a minimum follow-up of 180 days. Ann Oncol 9(7):767–773CrossRefGoogle Scholar
  2. 2.
    Cho J-B, Park I-Y, Sung K-Y, Baek J-M, Lee J-H, Lee D-S (2013) Pinch-off syndrome. J Korean Surg Soc 85(3):139–144CrossRefGoogle Scholar
  3. 3.
    Niederhuber JE, Ensminger W, Gyves JW, Liepman M, Doan K, Cozzi E (1982) Totally implanted venous and arterial access system to replace external catheters in cancer treatment. Surgery 92(4):706–712PubMedGoogle Scholar
  4. 4.
    Aparna S, Ramesh S, Appaji L, Srivatsa K, Shankar G, Jadhav V, Babu N (2015) Complications of chemoport in children with cancer: experience of 54,100 catheter days from a tertiary cancer center of Southern India. South Asian J Cancer 4(3):143–145CrossRefGoogle Scholar
  5. 5.
    Biffi R, Corrado F, de Braud F, de Lucia F, Scarpa D, Testori A et al (1997) Long-term, totally implantable central venous access ports connected to a Groshong catheter for chemotherapy of solid tumours: experience from 178 cases using a single type of device. Eur J Cancer 33(8):1190–1194CrossRefGoogle Scholar
  6. 6.
    Hinke DH, Zandt-Stastny DA, Goodman LR, Quebbeman EJ, Krzywda EA, Andris DA (1990) Pinch-off syndrome: a complication of implantable subclavian venous access devices. Radiology 177(2):353–356CrossRefGoogle Scholar
  7. 7.
    Sugimoto T, Nagata H, Hayashi K, Kano N (2012) Pinch-off syndrome: transection of implantable central venous access device. BMJ Case Rep 2012:bcr2012006584CrossRefGoogle Scholar
  8. 8.
    Fisher R, Ferreyro R (1978) Evaluation of current techniques for nonsurgical removal of intravascular iatrogenic foreign bodies. Am J Roentgenol 130(3):541–548CrossRefGoogle Scholar

Copyright information

© Indian Association of Surgical Oncology 2018

Authors and Affiliations

  • Vineet Goel
    • 1
  • Naveen Kumar
    • 2
    Email author
  • Vivek Saxena
    • 3
  • Harit Chaturvedi
    • 1
  1. 1.Department of Surgical OncologyMax Super-specialty HospitalNew DelhiIndia
  2. 2.Department of Surgical OncologyAll India Institute of Medical SciencesNew DelhiIndia
  3. 3.Department of Radio-DiagnosisMax Super-specialty HospitalNew DelhiIndia

Personalised recommendations