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Erin Mcmenamin - One of the best experts on this subject based on the ideXlab platform.

  • Catheter Fracture a complication in venous access devices
    Cancer Nursing, 1993
    Co-Authors: Erin Mcmenamin
    Abstract:

    : Catheter Fracture is an uncommon yet potentially life-threatening complication of venous access devices (VADs). Catheter Fracture generally occurs when long-term silicone Catheters are placed medial to the mid-clavicular line into the subclavian vein. Symptoms such as inability to infuse fluids, difficulty drawing blood, and an indentation of the Catheter on chest radiography are associated with pinch-off sign. Pinch-off sign is a common precursor to Catheter Fracture. Several case studies are presented to demonstrate the varying presentations of Catheter Fracture. Nursing care of patients demonstrating these symptoms focuses on early recognition and treatment. Prevention focuses on education concerning proper placement techniques for physicians who insert these Catheters.

C J Van Groeningen - One of the best experts on this subject based on the ideXlab platform.

F Largiader - One of the best experts on this subject based on the ideXlab platform.

  • Catheter Fracture a rare complication of totally implantable subclavian venous access devices
    Journal of Surgical Oncology, 1996
    Co-Authors: H P Klotz, Wolfgang Schopke, Arnold Kohler, Bernhard C Pestalozzi, F Largiader
    Abstract:

    Catheter Fracture represents a rare problem among non-infectious complications following the insertion of totally implantable long-term central venous access systems for the application of chemotherapeutic agents. A literature survey revealed a total incidence of Catheter Fractures of 0–2.1%. Imminent Catheter Fracture can be identified radiologically, using different degrees of Catheter narrowing between the clavicle and the first rib, called pinch-off sign. Two cases of Catheter Fracture are described and potential causes are discussed. Recommendations to avoid the pinch-off sign with the subsequent risk of Catheter Fracture and migration include a more lateral and direct puncture of the subclavian vein. In case of Catheter narrowing in the clavicular-first rib angle, patients should be followed carefully by chest X-rays every 4 weeks. Whenever possible, the system should be removed within 6 months following insertion. © 1996 Wiley-Liss, Inc.

S M Wu - One of the best experts on this subject based on the ideXlab platform.

  • pinch off sign and spontaneous Fracture of an implanted central venous Catheter report of a case
    Journal of the Formosan Medical Association, 1994
    Co-Authors: Yi Ming Arthur Chen, S M Wu
    Abstract:

    : Percutaneous subclavian implantation of an indwelling central venous Catheter is an easy technique and provides convenient venous access for long-term intravenous therapy. Although rarely reported, spontaneous Fracture of the Catheter is an ominous complication which requires a prompt diagnosis and urgent treatment. We present a case of "pinch-off sign" resulting in a spontaneous Fracture of an indwelling central venous Catheter. A 49-year-old female breast cancer patient was admitted and Port-A-Cath was implanted for chemotherapy. Immediately after the implantation, fluid infusion and blood withdrawal was smooth until clinical "pinch-off sign" developed 3 weeks later. Chest X ray revealed no abnormal findings. Extravasation of antineoplastic drugs was noted 113 days after operation. Fracture of the indwelling Catheter was found at the clavicle-rib junction. The Fractured fragment was removed with a transvenous snare under fluoroscope. There was no hemodynamic derangement during the peri-operative period. Microscopy studies suggested that intermittent pressure on the Catheter between the clavicle and the first rib may be responsible. The Catheter wore on the medial side ue to a tearing and scissoring effect associated with free shoulder joint movement exerted additional forces on this wearing point which led to Catheter Fracture. The relationship between the spontaneous Catheter Fracture and "pinch-off sign" is reviewed. Our suggestions are: (1) By avoiding the traditional cannulation of the median subclavian vein, the lateral subclavian vein, infraclavicular axillary vein or internal jugular vein should be better routes for implantation. (2) Chest X ray (anterior-posterior and lateral view) should be examined routinely 3 weeks after the operation.(ABSTRACT TRUNCATED AT 250 WORDS)

Guang Yang - One of the best experts on this subject based on the ideXlab platform.

  • analysis of risk factors for implantable venous access port Catheter Fracture with internal jugular vein
    Annals of palliative medicine, 2020
    Co-Authors: Ning Ai, Li Li, Zhigang Li, Cuizhi Geng, Guang Yang
    Abstract:

    Background: To investigate the risk factors of the in vivo implantable venous access port (IVAP) Catheter Fracture. Methods: We retrospectively analyzed 3,102 cases of patients with vascular access devices from November 2013 to March 2016 in the hospital by PACS. The clinical and radiographic features (age, occupation, living habit, IVAP duration, intravascular outer Catheter angle, location of Catheter tip and IVAP implantation site) were summarized to analyze the related risk factors of Fracture in the 3,102 patients. Results: There were 15 cases of Fracture in 3,102 patients, and the Fracture site were located at the entrance of the internal jugular vein (IJV) (n=12), the outlet of the vascular access devices (n=1), the distal portion of the Catheter (n=2). Fracture was closely related to the factors of port time, age and occupation, but not related to the location of the port, the position of the Catheter tip and the angle of the inner and the outer Catheter. Age and IVAP duration were an independent risk factor for IVAP Catheter Fracture. Conclusions: Implantable vascular access devices are approved by its advantages of being safe, effective and less invasive. It is important to clarify the related factors and early prevention of Fracture.