Ventricular tachycardia secondary to Port-a-Cath® fracture and embolization

被引：36

作者：

Denny, MA

Frank, LR

机构：

[1] Univ Washington, Sch Med, Div Emergency Med, Seattle, WA USA

[2] Madigan Army Med Ctr, Emergency Med Residency, Madigan Univ Washington, Ft Lewis, WA USA

来源：

JOURNAL OF EMERGENCY MEDICINE | 2003年 / 24卷 / 01期

关键词：

catheter fracture; embolization; pinch-off sign; totally implanted venous access catheter; ventricullar tachycardia; Port-a-Cath (R);

D O I：

10.1016/S0736-4679(02)00664-9

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Distal embolization of a fractured indwelling venous access catheter is a known, but rare, complication of these common devices. We report a case of possibly life-threatening tachydysrhythmia caused by an embolized portion of catheter from a totally implanted venous access catheter. Our discussion focuses on review of the literature on the typical presentation and management of this entity, as well as a brief discussion on prevention and risk factors for developing this complication. (C) 2003 Elsevier Science Inc.

引用

页码：29 / 34

页数：6

共 32 条

[1] THE PINCH-OFF SIGN - A WARNING OF IMPENDING PROBLEMS WITH PERMANENT SUBCLAVIAN CATHETERS [J].

AITKEN, DR ;

MINTON, JP .

AMERICAN JOURNAL OF SURGERY, 1984, 148 (05) :633-636

[2]

AYERS WB, 1957, ARCH SURG-CHICAGO, V75, P259

[3] BREAKAGE OF AN EMBOLIZED INTRAVASCULAR CATHETER FRAGMENT - A COMPLICATION OF NONSURGICAL TRANSVENOUS RETRIEVAL [J].

BAUCH, TD ;

STOUGHTON, TL ;

PEARL, W .

JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, 1992, 16 (02) :175-177

[4] INTRAVENOUS CATHETER EMBOLIZATION TO PULMONARY ARTERY [J].

BERNHARDT, LC ;

WEGNER, GP ;

MENDENHALL, JT .

CHEST, 1970, 57 (04) :329-+

[5]

BRINCKER H, 1986, CANCER, V57, P1124, DOI 10.1002/1097-0142(19860315)57:6<1124::AID-CNCR2820570611>3.0.CO

[6]

2-D

[7]

BROWN C A, 1956, South Med J, V49, P466

[8] CATHETER EMBOLIZATION FROM IMPLANTED VENOUS ACCESS DEVICES - CASE-REPORTS [J].

CARR, ME .

ANGIOLOGY, 1989, 40 (04) :319-323

[9]

Coles C E, 1998, Clin Oncol (R Coll Radiol), V10, P412, DOI 10.1016/S0936-6555(98)80047-2

[10] A RARE COMPLICATION OF IMPLANTED CENTRAL-VENOUS ACCESS DEVICES - CATHETER FRACTURE AND EMBOLIZATION [J].

DEBETS, JMH ;

WILS, JAMJ ;

SCHLANGEN, JT .

SUPPORTIVE CARE IN CANCER, 1995, 3 (06) :432-434

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