Korean Circ J.  2012 Feb;42(2):122-124. 10.4070/kcj.2012.42.2.122.

Percutaneous Retrieval of an Embolized Central Venous Chemoport in a Patient With Colon Cancer

• Kim JE
• Kim MK
• Shim YK
• Kim JT
• Kim SM
• Lee SY
• Bae JW
• Hwang KK
• Kim DW
• Cho MC

• KMID: 1826385
• DOI: http://doi.org/10.4070/kcj.2012.42.2.122

Abstract

The central access device is commonly used as a route of chemotherapuetic agents in patients with malignant diseases for its convenient and safety for insertion. This report describes a case of 66-year-old man with colon cancer who suffered a rare complication in which a chemoport embolized into the inferior vena cava and it was successfully retrieved by a percutaneous approach using a goose neck snare.

Keyword

Catheters; Complications; Device removal

MeSH Terms

Aged
Catheters
Colon
Colonic Neoplasms
Device Removal
Humans
Neck
SNARE Proteins
Vena Cava, Inferior
SNARE Proteins

Figure

• 

  Fig. 1 Chemoport on chest X-ray. A: post chemoport insertion chest X-ray showed appropriate position of device without pneumothorax. B: distal part of chemoport was fractured and embolized into IVC (arrow indicates the fractured part of the chemoport, the emblized part is seen beside of the dotted line). C and D: embolized segment of chemoport was positioned in right atrium and IVC in angiographic anteroposterior and lateral projections. IVC: inferior vena cava.

• 

  Fig. 2 Procedure of removal of chemoport. A and B: embolized part of chemoport was caught with a goose neck snare (indicated by arrow in A) with angiographic guidance. C and D: embolized part was pulled down to femoral vein and removed with femoral vein sheath.

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