Successful percutaneous transvenous approach for pinch-off syndrome: a case report

BACKGROUND: Pinch-off syndrome is a rare late complication characterized by the occurrence of spontaneous fracture and embolization of a port-a-cath implanted via subclavian venous access. It may lead to serious cardiovascular outcomes. CASE PRESENTATION: We report a successful percutaneous transven...

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Detalles Bibliográficos
Autores principales: Matta, Anthony, Chavernac, Pascal, Pouche, Marion, Cantié, Philippe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10023872/
https://www.ncbi.nlm.nih.gov/pubmed/36941966
http://dx.doi.org/10.1093/ehjcr/ytad111
Descripción
Sumario:BACKGROUND: Pinch-off syndrome is a rare late complication characterized by the occurrence of spontaneous fracture and embolization of a port-a-cath implanted via subclavian venous access. It may lead to serious cardiovascular outcomes. CASE PRESENTATION: We report a successful percutaneous transvenous removal of intravascular fractured port catheter embolized into the right ventricle by using the ‘lasso’ technique in an 85-year-old man with type B non-Hodgkin lymphoma undergoing chemotherapy and long estimated life expectancy. DISCUSSION: Knowledge of pinch-off syndrome among physicians is essential for early intervention, thereby preventing adverse events. Percutaneous approach seems an effective, safe, and simple procedure.

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