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KMID : 0882420100780020231
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Korean Journal of Medicine
2010 Volume.78 No. 2 p.231 ~ p.234
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A case of a fractured and impacted central venous chemoport in a patient with stomach cancer
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Gil Sang-Hyun
Cho Gu-Min
Kim Soo-Jeong
Yu Ji-Han
Kim Eun-Ok
Lee Jong-Min
Lim Keun-Woo
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Abstract
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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.
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KEYWORD
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Central venous catheterization, Complications, Spontaneous fractures
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