J Korean Surg Soc.  2010 Dec;79(Suppl 1):S54-S57. 10.4174/jkss.2010.79.Suppl1.S54.

Successful Removal of a Migrated Catheter of Chemoport in Right Atrium

• Choi HL
• Yang HY
• Ryu DH
• Jang LC
• Lee SJ
• Song YJ
• Sun WY

• KMID: 2040554
• DOI: http://doi.org/10.4174/jkss.2010.79.Suppl1.S54

Abstract

The use of totally implantable central venous access devices (chemoport) has increased with the development of chemotherapeutic agents in oncologic patients, especially with no venous access site. However, there can be various complications such as port site infection, thromboembolism, injury of central vein, fracture of catheter, and migration of catheter. We report a rare case of migration of catheter to right atrium due to the separation of the catheter from the chemoport.

Keyword

Chemoport; Catheter; Migration

MeSH Terms

Catheters
Heart Atria
Humans
Thromboembolism
Veins

Figure

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  Fig. 1 Chest PA shows the chemoport in the anterior chest wall (arrow head), the migrated catheter tip in right atrium (arrow A), and the other end of the migrated catheter tip in IVC (arrow B). IVC = inferior vena cava.

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  Fig. 2 Fluoroimages show the migrated catheter in right atrium and IVC. IVC = inferior vena cava.

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  Fig. 3 Fluoroimages show the diagnostic catheter placed in right atrium (A). The migrated catheter was entrapped with a Multi-Snare® (B, C), and withdrawn (D, E), and the catheter was retrieved via right femoral vein successfully (F).

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