Robles VC, Enríquez E, Cobos E, Guzmán NCER, Seguí VP, Olivares MH

Language: Spanish
References: 20
Page: 35-38
PDF size: 63.86 Kb.

ABSTRACT

With new oncological treatments, the use of permanent catheters is very common and complications are not infrequent. For authors like Monsuez (1) the rate of catheter iatrogenic embolism is 1.2 per 1000 patients treated. We present the clinical case of a female patient with iatrogenic embolism of a Port-A-Cath catheter after five cycles of chemotherapy. The catheter was localized in the left pulmonary artery and was retrieved through femoral catheterization without complications. We review the literature of similar cases.

REFERENCES

1. Monsuez JJ, Douard MC, Marin-Bouyer Y. Catheter fragments embolization. Angiology 1997; 48: 117-120.

2. Rojas GA, Gerson R, Cervantes J, Flores C, Villalobos A. Acceso vascular en el paciente oncológico. Experiencia de 200 casos. Cir Ciruj 1999; 67: 200-204.

3. Actis Dato GM, Arslanian A, Di Marzio P, Filosso PL, Ruffini E. Posttraumatic and iatrogenic foreign bodies in the heart: Report of fourteen cases and review of the literature. J Thorac Cardiovasc Surg 2003; 126: 408-414.

4. Mainar V, Picó Aracil F, Bordes P, Ruiz Ros JA, Campos Peris JV, Marín F. Extracción percutánea de cuerpos extraños intravasculares: Una serie de 28 casos. Rev Esp Cardiol 1996; 49: 41-47.

5. Herránz JB, Bermúdez-Cañete B, Herraiz SJI, Acerote GF, Bialkowski J et al. Extracción no quirúrgica de cuerpos extraños intravasculares en niños. Experiencia en 8 casos. Rev Esp Cardiol 1995; 48: 326-332.

6. Reidy JF, Deverall PB, Sowton E. Successful late non-surgical removal of intracardiac catheter fragment. Br Heart J 1982; 48: 407-409.

7. Fisher RG, Ferreiro R. Evaluation of current technique for non-surgical removal of intravascular iatrogenic foreign bodies. AJR 1978; 130: 541-548.

8. Ensing GJ, Hagler DJ, Seward JB, Julsurd PR, Mair DD. Caveats of ballon dilation of conduits and conduit valves. J Am Coll Cardiol 1989; 14: 397-400.

9. Grabenwoeger F, Bardach C, Dock W, Pinterits F. Percutaneous extraction of centrally embolized foreign bodies: A report of 16 cases. Br J Radiol 1988; 61: 1014-1018.

10. Blair E, Hunziker R, Flanagan ME. Catheter embolism. Surgery 1970; 67: 457-461.

11. Aldrige HE, Lee J. Transvascular removal of catheter fragments from the great vessels and heart. Can Med Asspc J 1997; 117: 1300-1304.

12. Maisey NR, Sacks N, Johnston SR. Catheter fracture: A rare complication of totally implantable venous devices. Breast 2003; 12: 287-289.

13. Fazeny-Dörner B, Wnzel C, Berzlanovich A, Sunder-Plassmann G, Greinix H, Marsoi C, Muhm M. Central venous catheter pinc-off and fracture: Recognition, prevention and management. Bone Marrow Transplantation 2003; 31: 927-930.

14. Leinung S, Warl P, Anders K, Deckert F et al. Port catheter fractures in 361 implants port systems. Analysis of the causes, possible solutions and review of the literature. Chirurg 2002; 73: 696-699.

15. Lenglingler FX, Hartl P, Kirchgatterer A, Lenglingler GM, Baldinger C. Fracture and embolization of a central venous port catheter without prior compression between the clavicle and the 1st rib. Wiener Klinische Wochenschrift 2001; 113: 134-137.

16. Massumi RA, Ross AM. Attraumatic, non-surgical technique for removal of broken catheters from cardiac cavities. N Engl J Med 1967; 277: 195-196.

17. Cotroneo AR, Di Stasi C, Pedicelli A, Cina A, Di Gregorio F, Marano P. Percutaneous retrieval of intravascular foreign bodies. Radiol Med 1998; 96: 492-497.

18. Egglin TK, Dickey KW, Rossenblat M, Pollak JS. Retrieval of intravascular foreign bodies:experience in 32 cases. AJR 1995; 164: 1259-1264.

19. Uflacker R, Lima S, Melichar AC. Intravascular foreign bodies:Percutaneous retrieval. Radiology 1986; 160: 731-735.

20. Grabenwoeger F, Dock W, Pinterits F, Appél W. Fixed intravascular foreign bodies: A new methods for removal. Radiology 1988; 167: 555-556.