TY  - JOUR
T1  - Percutaneous Retrieval of an Embolized Central Venous Chemoport Catheter in a Patient with Pinch-off Syndrome
TT  - Pinch-off Sendromlu Bir Hastada Embolize Olmuş Santral Venöz Kemoport Kateterinin Perkütan Yol ile Çıkarılması
AU  - Avcı, Anıl
AU  - Tellice, Muhammet
AU  - Bayam, Emrah
AU  - Öztürkeri, Burak
AU  - Alıcı, Gökhan
PY  - 2017
DA  - August
JF  - Koşuyolu Heart Journal
PB  - Kartal Koşuyolu Yüksek İhtisas EAH
WT  - DergiPark
SN  - 2149-2972
SP  - 179
EP  - 181
VL  - 20
IS  - 2
LA  - en
AB  - Transectionand embolization of a chemoport secondary to a pinching effect between theclavicle and first rib (pinch-off syndrome) is a rare but serious complication.Pinch-off syndrome usually occurs approximately 5.3 months after the insertionof the catheter. We are reporting a case of an embolized chemoport catheterinto the right atrium that occurred 5 years after the chemoport implantation ina patient with breast cancer. Percutaneous retrieval of an embolized chemoportcatheter using a snare loop catheter may be safe and effective even in patientswho presented very late with pinch-off syndrome.
KW  - Central venous port
KW  - chemoport
KW  - pinch-off syndrome
N2  - Kemoterapiportunun klavikula ve 1. kot arasında sıkışmasına bağlı kopması veembolizasyonu (pinch-off sendromu) nadir görülen ancak ciddi birkomplikasyondur. Pinch-off sendromu kemoterapi portunun yerleştirilmesindenortalama 5.3 ay sonra oluşmakla birlikte 60. aya kadar da görülebilmektedir. Buçalışmamızda; meme tümörü olan bir hastada, kemoport kateterinin 5 yıl sonrasağ atriyuma embolize olması sonucu gelişen pinch-off sendromu olgusunusunuyoruz. Embolize olan santral venöz kemoport kateterinin loop snare kateterkullanılarak perkütan yol ile çıkarılması geç dönem pinch-off sendromuolgularında dahi güvenli ve etkili bir yöntem olabilir.
CR  - 1.	Kim JE, Kim MK, Shim YK, Kim JT, Kim SM, Lee SY, et al. Percutaneous retrieval of an embolized central venous chemoport in a patient with colon cancer. Korean Circ J 2012;42:122-4.
CR  - 2.	Kim OK, Kim SH, Kim JB, Jeon WS, Jo SH, Lee JH, et al. Transluminal removal of a fractured and embolized indwelling central venous catheter in the pulmonary artery. Korean J Intern Med 2006;21:187-90.
CR  - 3.	Çilingiroğlu M, Akkuş Nl. Embolization of a PORT-A-CATH device in the main pulmonary artery and its percutaneous extraction in a patient with pinch-off syndrome. Turk Kardiyol Dern Ars 2012;40:162-4.
CR  - 4.	Graaff  de JC, Bras LJ, Vos JA. Early transaction of a central venous catheter in a sedated ICU patient. Br J Anaesth 2006;97:832-4.
CR  - 5.	Hinke DH, Zandt-Stastny DA, Goodman LR, Quebbeman EJ,  Krzywda EA, Andris DA. Pinch-off syndrome: a complication of implantable subclavian venous access devices. Radiology 1990;177:353-6.
CR  - 6.	Pittiruti M, Cina A, Cotroneo A, DiStasi C, Malerba M, Cina G. Percutaneous intravascular retrieval of embolised fragments of long term central venous catheters. J Vasc Access 2007;1:23-7.
CR  - 7.	Mirza B, Vanek VW, Kupensky DT. Pinch-off syndrome: case report and collective review of the literature. Am Surg 2004;70:635-44.
UR  - https://dergipark.org.tr/en/pub/khj/issue//496788
L1  - https://dergipark.org.tr/en/download/article-file/596057
ER  -