2014, Number 4
<< Back Next >>
An Med Asoc Med Hosp ABC 2014; 59 (4)
Spontaneuos migration of tip catheter Port-A-Cath to ipsilateral internal jugular vein. Report of two cases
Aragón LJA, Torres PJL, De La Rosa AMA, Garnica BG
Language: Spanish
References: 19
Page: 310-314
PDF size: 253.03 Kb.
ABSTRACT
The use of permanent vascular systems for implantable venous access is now common and it is associated with more comfort and a six-month increase in survival in patients with oncologic treatment. However, it can present some complications. We present two cases of uncommon late morbidity (0.4%) in these patients, with spontaneous migrations of the catheters’ tips to the internal jugular veins. The etiology is not clear it has been associated with intense vomiting and severe coughing that can produce a temporal inversion in the intrathorax blood flow. This is a rare complication that can be asymptomatic and is associated with secondary severe injuries in those cases not diagnosed on time; hence the importance of this publication. We present a review of the literature, possible etiology, diagnosis and treatment
REFERENCES
Dal Molin A, Guerreta L, Mazzufero F. The management of totally implanted venous ports in the ambulatory oncologic patient. J Vasc Access. 2009; 10 (1): 22-26.
Cozar A, Olmo M. Consideraciones del abordaje subclavio en accesos venosos totalmente implantable. Cir Esp. 2003; 74: 246.
Boglione DM, Vallone P, Falke G, Andrade H, Otoya J, Dávila M. Catéteres venosos centrales en pacientes oncológicos. Rev de Cir Infantil. 1994; (1): 35-39.
Biffi R, Corrado F, Braud F. Long-term, totally implantable central venous access ports connected to a groshong catheter for chemotherapy of solid tumors. Experience of 178 cases using a single type of device. Eur J Cancer. 1997; 33: 1190-1194.
Filippou D, Tsikkinis C, Filippou G, Nissiotis A, Rizos S. Rupture of totally implantable central venous access devices (intraports) in patients with cancer: report of four cases. World Journal of Surgical Oncology [Internet]. 2004; 2: (36). Available in: http://www.wjso.com/content/2/1
Jané S, Casas A, Cuadrado S, Rives M, Sanchís J. Complicación infrecuente de los reservorios subcutáneos venosos centrales permanentes: migración espontanea de la punta del catéter a la vena yugular ipsolateral. Cir Esp. 2008; 84 (5): 280-291.
Garajova M, Nepoti G, Paragona M, Brandi G, Biasco G. Port-A-Cath related complication in 252 patients with solid tissue tumours and the first report of hepatin induced delayed hipersensitivity afet port a cath heparinisation. Eur J of Ca Care. 2013; 22: 125-132.
Yee-Huang K, Pi-Hui K, Yueh-Feng T, Went-Tsung H, Ming-Hsien L, Chao-Jung T. Port-A-Cath implantation using percutaneous puncture without guidance. Ann Surg Oncol. 2009; 16: 729-734.
Freyre E, Iglesia A, Rodríguez C, González M, Peleteiro R, Camba MA. Reservorios venosos centrales totalmente implantables, tipo Port-A-Cath, en pacientes oncológicos: revisión de complicaciones. Rev Soc Esp Dolor. 2008; 7: 451-462.
Carvajal C, Pedemonte J. Posición ideal de la punta del catéter venoso central. Rev Chil Anestesia. 2006; 35: 63-70.
Binnebösel M, Grommes J, Junge K, Göbner S, Schumpelick V, Truong S. Internal jugular vein thrombosis presenting as a painful neck mass due to a spontaneous dislocated subclavian port catheter as long-term complication: a case report. Cases Journal [Internet]. 2009; 2: 7991. Available in: http://casesjournal.com/casesjournal/article/view/7991
Al-Hindi S, Al-Saad K. Spontaneous migration of a central line catheter into the heart. Bahrain Med Bull [Internet]. 2007; 29 (3). Available in: http://www.bahrainmedicalbulletin.com/September_2007/spontaneous_migration.pdf
Robblin D, Porter JC, Knight RK. Spontaneous migration of totally implanted venous catheter systems from subclavian into jugular veins. Thorax. 1994; 49 (3): 281-282.
Shariat M, Zahiah M, Chan PK. Migration of the tip of a central venous catheter. Iran J Radiol. 2008; 5 (4): 239-243.
Poorter RL, Lauw FN, Bemelman WA, Bakker PJM, Taat CW, Veenhof CHN. Complications of an implantable venous access device (Port-A-Cath) during intermittent continuous infusion of chemotherapy. Eur J Cancer. 1996; 32 (13): 2262-2266.
Ballarini C, Intra M, Pisani-Ceretti A, Cordovana A, Pagani M, Farina G et al. Complications of subcutaneous infusion port in the general oncology population. Oncology. 1999; 56: 97-102.
Kyung S, Kweon Y, Ho C, Tae-Seok S. Spontaneously migrated tip of an implantable port catheter into the axillary vein in a patient with severe cough and the subsequent intervention to reposition it. Korean J Radiol. 2008; 9: 81-84.
Duarte M, Batista J, Arbo A. Trombosis asociada a catéter venoso central: reporte de caso. Rev Inst Med Trop. 2010; 5 (1): 35-38.
Silver DF, Hempling RE, Recio FO et al. Complications related to indwelling caval catheters on a gynecologic oncology service. Gynecol Oncol. 1998; 70: 329-333.