Korean J Med > Volume 78(2); 2010 > Article
The Korean Journal of Medicine 2010;78(2):231-234.
A case of a fractured and impacted central venous chemoport in a patient with stomach cancer
Sang-Hyun Gil, Gu-Min Cho, Soo-Jeong Kim, Ji-Han Yu, Eun-Ok Kim, Jong-Min Lee, Keun-Woo Lim
위암 환자에서 발생한 피하매몰 중심정맥포트 골절 및 심장 내 전위 1예
길상현, 조규민, 김수정, 유지한, 김은옥, 이종민, 임근우
Abstract
A central venous port catheter is widely used to administer fluids, chemotherapeutic agents, and parenteral nutrition; however, similar to other invasive procedures, it has numerous potential complications. Among them, distal migration of a fractured central venous port catheter is a rare complication. A 66-year-old man had a central venous port catheter implanted into the right subclavian vein for adjuvant stomach cancer chemotherapy and presented with an ulceration at the chemoport insertion site. While removing the port catheter, it fractured and the distal tip and migrated and impacted the annulus of the right atrium. The impacted port catheter was successfully removed through a femoral vein approach using a radiofrequency ablation catheter and a multi snare. (Korean J Med 78:231-234, 2010)
Key Words: Central venous catheterization; Complications; Spontaneous fractures


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