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KMID : 0371320130850030139
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Journal of the Korean Surgical Society
2013 Volume.85 No. 3 p.139 ~ p.144
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Pinch-off syndrome
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Cho Jin-Beom
Park Il-Young
Sung Ki-Young
Baek Jong-Min
Lee Jun-Hyun
Lee Do-Sang
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Abstract
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Subclavian venous catheterization was previously frequently performed, but because of life-threatening complications such as hemothorax, pneumothorax, mediastinal hematoma, and myocardial injury, its use has become less common. However, this practice has some advantages in patient mobility, secured dressing, and rapidity and adequacy of vascular access. In some situations where patient comfort is an especially important consideration, such as with totally implantable venous port insertion for chemotherapy, the subclavian route can be a good choice if an experienced and well-trained faculty is available. The authors have had recent experience with pinch-off syndrome-in other words, spontaneous catheter fracture-in 3 patients who had undergone venous port implantation through the right subclavian route. Through these cases, we intend to review the dangers of subclavian venous catheterization, the causes of pinch-off syndrome, and its clinical presentation, progress, treatments, and prevention.
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KEYWORD
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Pinch off syndrome, Subclavian venous catheterization, Spontaneous catheter fracture, Implantable venous port
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