Percutaneous Retrieval of an Embolized Central Venous Chemoport Catheter in a Patient with Pinch-off Syndrome

Yıl 2017, Cilt: 20 Sayı: 2, 179 - 181, 01.08.2017

Anıl Avcı Muhammet Tellice Emrah Bayam Burak Öztürkeri Gökhan Alıcı

Öz

Transection
and embolization of a chemoport secondary to a pinching effect between the
clavicle and first rib (pinch-off syndrome) is a rare but serious complication.
Pinch-off syndrome usually occurs approximately 5.3 months after the insertion
of the catheter. We are reporting a case of an embolized chemoport catheter
into the right atrium that occurred 5 years after the chemoport implantation in
a patient with breast cancer. Percutaneous retrieval of an embolized chemoport
catheter using a snare loop catheter may be safe and effective even in patients
who presented very late with pinch-off syndrome.

Anahtar Kelimeler

Central venous port, chemoport, pinch-off syndrome

Pinch-off Sendromlu Bir Hastada Embolize Olmuş Santral Venöz Kemoport Kateterinin Perkütan Yol ile Çıkarılması

Öz

Kemoterapi
portunun klavikula ve 1. kot arasında sıkışmasına bağlı kopması ve
embolizasyonu (pinch-off sendromu) nadir görülen ancak ciddi bir
komplikasyondur. Pinch-off sendromu kemoterapi portunun yerleştirilmesinden
ortalama 5.3 ay sonra oluşmakla birlikte 60. aya kadar da görülebilmektedir. Bu
çalışmamızda; meme tümörü olan bir hastada, kemoport kateterinin 5 yıl sonra
sağ atriyuma embolize olması sonucu gelişen pinch-off sendromu olgusunu
sunuyoruz. Embolize olan santral venöz kemoport kateterinin loop snare kateter
kullanılarak perkütan yol ile çıkarılması geç dönem pinch-off sendromu
olgularında dahi güvenli ve etkili bir yöntem olabilir.

Anahtar Kelimeler

Santral venöz port, kemoport, pinch-off sendromu

Kaynakça

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