Skip to main content

Advertisement

Log in

Disconnection of chamber and catheter as a complication of central venous catheter type port-a-cath

  • Original Paper
  • Published:
Medical Oncology Aims and scope Submit manuscript

Abstract

The use of a central vein catheter (CVC) type port-a-cath(VPS), apart from the comfort it provides to the patient undergoing chemotherapy, also carries certain complications. In this study, our patient was subjected to chemotherapy after a radical breast cancer operation and was given a CVC type VPS. After further care, a rare complication was verified—disconnection of the chamber and catheter, which one was visually identified in the right heart chamber. As the patient was vitally endangered, she was immediately hospitalized and the catheter was removed by catheterization of the right femoral vein, with scopic imaging. Early diagnosis and localization of the problem prevented more severe complications and mortality.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Vescia S, Baumgartner AK, Jacobs VR, et al. Management of venous port systems in oncology:a review of current evidence. Ann Oncol. 2008;19:9–15.

    Article  PubMed  CAS  Google Scholar 

  2. Kuriakose J, Colon-Otero G, Paz-Fumagalli R. Risk of deep venous thrombosis associated with chest versus arm central venous subcutaneous port catheters :a 5-year single–institution retrospective study. J Vasc Interv Radiol. 2002;13:179–84.

    Article  PubMed  Google Scholar 

  3. Mansfield PF, Hohn DC, Fornage BD, et al. Complication and failure of subclavian-vein catheterization. N Engl J Med. 1994;331:1735–8.

    Article  PubMed  CAS  Google Scholar 

  4. Yildizeli B, Lacin T, Batirel HF, et al. Complications and management of long-termcentral venous access catheters and ports. J Vasc Access. 2004;5(4):174–8.

    PubMed  CAS  Google Scholar 

  5. Bouza E. Intravascular catheter–related infections: a growing problem, the search for better solutions. Clin Microbiol Infect. 2002;8(5):255.

    Article  PubMed  CAS  Google Scholar 

  6. Agnelli G, Verso M. Therapy insight: venous–catheter- related thrombosis in cancer patients. Nature Clin Pract. 2006;3(4):214–22.

    Article  Google Scholar 

  7. Verso M, Agnelli G. Venous thromboembolism associated with long term use of central venous catheters in cancer patients. J Clin Oncol. 2003;21:3665–75.

    Article  PubMed  Google Scholar 

  8. Bern M, Lokich J, Sabina R, et al. Very low doses of warfarin can prevent thrombosis in central venous catheters. Ann Intern Med. 1990;112:423–8.

    PubMed  CAS  Google Scholar 

  9. ÓGrady NP, Alexander M, Dellinger EP, et al. Guidelines for the prevention of intravascular catheter-related infections. Am J Infect Control. 2002;30:476–89.

    Article  Google Scholar 

  10. Bern M, Lokich J, Sabina R, et al. Very low doses of warfarin can prevent thrombosis in central venous catheters. Ann Intern Med. 1990;112:423–8.

    PubMed  CAS  Google Scholar 

  11. Kock HJ, Pietsch M, Krause U, Wilke H, Eigler FW. Implantable vascular access systems: experience in 1500 patients with totally implanted central venous port systems. World J Surg. 1998;22:12–6.

    Article  PubMed  CAS  Google Scholar 

  12. Lokich JJ, Bothe A, Benotti P, Moore C. Complications and management of implanted venous access catheters. J Clin Oncol. 1985;3:710–7.

    PubMed  CAS  Google Scholar 

  13. Angela Wai-Chi L, Ch Yuh-Min, Kuang-Yao Y, Chun-Ming T, Reury-Perng P. Disconnection of a venous port-a-cath followed by embolization after saline flush: rare case report. Jpn J Clin Oncol. 1999;29(12):643–5.

    Article  Google Scholar 

  14. Karin Anna H, Tobias W, Volker H, Maximilian R. Interventional radiological procedures in impaired function of surgically implanted catheter-port systems. Cardiovasc Intervent Radiol. 2001;24(1):31–6.

    Article  Google Scholar 

  15. Bernhard G, Ulf Karl T, Pert P, Michael W, Enrique Lopez H, Roland F. Radiological interventions for correction of central venous port catheter migrations. Cardiovasc Intervent Radiol. 2007;30(4):668–74.

    Article  Google Scholar 

  16. Rauthe G, Altmann C. Complications in connection with venous port systems: prevention and therapy. Eur J Surg Oncol. 1998;241:192–9.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S. Kostic.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kostic, S., Kovcin, V., Granić, M. et al. Disconnection of chamber and catheter as a complication of central venous catheter type port-a-cath. Med Oncol 28, 1176–1179 (2011). https://doi.org/10.1007/s12032-010-9615-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12032-010-9615-z

Keywords

Navigation