Pinch-off syndrome from a chemoport catheter successfully managed with endovascular retrieval.

ABSTRACT:

Introduction and importance

A totally implantable venous access device (TIVAD), also referred to as 'chemoport', is frequently used for oncology patients. Chemoport insertion via the subclavian vein access may compress the catheter between the first rib and the clavicle, resulting in pinch-off syndrome (POS). The sequela includes catheter transection and subsequent embolization. It is a rare complication with incidence reported to be 1.1-5.0% and can lead to a devastating outcomes.

Case presentation

50-year-old male had his chemoport inserted for adjuvant chemotherapy 3 years ago. During the removal, remaining half of the distal catheter was not found. There was no difficulties during the removal. Chest xray revealed that the fractured catheter had embolized to the ri

SUBMITTER: Chuah JS 

PROVIDER: S-EPMC8079954 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature