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Intrapulmonal dislocation of a totally implantable venous access device
BACKGROUND: Totally implantable venous access devices are widely used for infusion of chemotherapy or parenteral nutrition. Device associated complications include technical operative problems, infections, paravasal infusions and catheter or punction chamber dislocation. CASE PRESENTATION: We presen...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2005
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1087895/ https://www.ncbi.nlm.nih.gov/pubmed/15823210 http://dx.doi.org/10.1186/1477-7819-3-19 |
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author | Hackert, Thilo Tjaden, Christin Kraft, Angelika Sido, Bernd Dienemann, Hendrik Buchler, Markus W |
author_facet | Hackert, Thilo Tjaden, Christin Kraft, Angelika Sido, Bernd Dienemann, Hendrik Buchler, Markus W |
author_sort | Hackert, Thilo |
collection | PubMed |
description | BACKGROUND: Totally implantable venous access devices are widely used for infusion of chemotherapy or parenteral nutrition. Device associated complications include technical operative problems, infections, paravasal infusions and catheter or punction chamber dislocation. CASE PRESENTATION: We present the case of a 49-year-old patient with the rare complication of a intrapulmonal catheter dislocation of a totally implantable venous access system. Treosulfane for chemotherapy of metastatic breast cancer was infused via the catheter causing instant coughing and dyspnoea which lead to the diagnosis of catheter dislocation. The intrapulmonal part of the catheter was removed under thoracoscopic control without further complications. CONCLUSION: Intrapulmonal catheter dislocation is a rare complication of a totally implantable venous access device which can not be avoided by any prophylactic measures. Therefore, the infusion system should be tested before each use and each new symptom, even when not obviously related to the catheter should be carefully documented and evaluated by expert physicians to avoid severe catheter-associated complications. |
format | Text |
id | pubmed-1087895 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2005 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-10878952005-04-30 Intrapulmonal dislocation of a totally implantable venous access device Hackert, Thilo Tjaden, Christin Kraft, Angelika Sido, Bernd Dienemann, Hendrik Buchler, Markus W World J Surg Oncol Case Report BACKGROUND: Totally implantable venous access devices are widely used for infusion of chemotherapy or parenteral nutrition. Device associated complications include technical operative problems, infections, paravasal infusions and catheter or punction chamber dislocation. CASE PRESENTATION: We present the case of a 49-year-old patient with the rare complication of a intrapulmonal catheter dislocation of a totally implantable venous access system. Treosulfane for chemotherapy of metastatic breast cancer was infused via the catheter causing instant coughing and dyspnoea which lead to the diagnosis of catheter dislocation. The intrapulmonal part of the catheter was removed under thoracoscopic control without further complications. CONCLUSION: Intrapulmonal catheter dislocation is a rare complication of a totally implantable venous access device which can not be avoided by any prophylactic measures. Therefore, the infusion system should be tested before each use and each new symptom, even when not obviously related to the catheter should be carefully documented and evaluated by expert physicians to avoid severe catheter-associated complications. BioMed Central 2005-04-11 /pmc/articles/PMC1087895/ /pubmed/15823210 http://dx.doi.org/10.1186/1477-7819-3-19 Text en Copyright © 2005 Hackert et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Hackert, Thilo Tjaden, Christin Kraft, Angelika Sido, Bernd Dienemann, Hendrik Buchler, Markus W Intrapulmonal dislocation of a totally implantable venous access device |
title | Intrapulmonal dislocation of a totally implantable venous access device |
title_full | Intrapulmonal dislocation of a totally implantable venous access device |
title_fullStr | Intrapulmonal dislocation of a totally implantable venous access device |
title_full_unstemmed | Intrapulmonal dislocation of a totally implantable venous access device |
title_short | Intrapulmonal dislocation of a totally implantable venous access device |
title_sort | intrapulmonal dislocation of a totally implantable venous access device |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1087895/ https://www.ncbi.nlm.nih.gov/pubmed/15823210 http://dx.doi.org/10.1186/1477-7819-3-19 |
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