ID 110226
Title Transcription
ショウカキ ガン ノ カガク リョウホウチュウ ニ ショウジタ pinch-off syndrome ノ 3ショウレイ
Title Alternative
Three cases of pinch-off syndrome
Author
Harino, Yukari Department of Gastroenterological Surgery, Anan Kyoei Hospital
Ando, Michio Department of Gastroenterological Surgery, Anan Kyoei Hospital
Ikawa, Kouichi Department of Gastroenterological Surgery, Anan Kyoei Hospital
Keywords
pinch-off syndrome
Implanted central venous catheter port
Content Type
Journal Article
Description
Recently Implanted central venous catheter ports(CV ports)are more commonly used inpatients with cancer when long-term venous access is needed for the administration of chemotherapy,antibiotics and nutritional support. Pinch-off syndrome occurs when chronic compressionforces between the clavicle and the first rib. We report three patients with pinch-off syndrome.Case 1 : Two months after placement, the chest radiograph showed grade 2 pinch-off sign. Case 2 :Two months after placement, the chest CT showed complete transection of the catheter at thelevel of the clavicle. The distal fragment was in the hepatic vein, the inferior vena cava and theright atrium. Case 3 : A palpable mass was noticed below the right clavicle when the port wasaccessed. The chest radiograph showed grade 2 pinch-off sign. Removing the catheter, it wasfractured. The distal fragment was in the superior vena cava. Six months after replacement,complete transection of the catheter was occurred. The distal fragment was in the right ventricle.All this distal fragment of the catheter could be retrieved percutaneously with a transvenous snare.Pinch-off syndrome is the potential for serious complication, we study how to prevent pinch-offsyndrome.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
64
Issue
1-2
Start Page
57
End Page
61
Sort Key
57
Published Date
2008-04-25
FullText File
language
jpn
TextVersion
Publisher