Sıradışı bir pnömoni nedeni olarak venöz port kateteri dislokasyonu

Abstract

Santral venöz port kateteri kullanımı uzun dönem tedavi uygulanan malignite hastalarında oldukça kullanışlı bir yöntemdir. Katetere bağlı komplikasyonlardan korunmada kateterin yerleştirilme tekniği ve bakımı önem teşkil etmektedir. En sık görülen komplikasyonlar; derin ven trombozu, port enfeksiyonu, kateter obstrüksiyonudur. Bu makalede nadir bir komplikasyon olan kateterin tümünün ekstravaze yerleştirilmesini takiben ilaç uygulaması sonrası pnömoni gelişen bir olgu tartışılmıştır.

Keywords

• Venöz kateter komplikasyonu, kateter dislokasyonu, kemoterapi

Venous port catheter dislocation as an unusual cause of pneumonia

Abstract

The use of central venous port catheter is a very useful method for long-term therapy in patients with malignancy. Catheter insertion technique and maintenance of equipment is very important to the prevention of catheter-related complications. The most frequent complications are deep venous thrombosis, port infection, catheter obstruction. İn this article, pneumonia occurrence after chemotherapy infusion in a patient who has a completely extravasated central venous port catheter discussed.

Keywords

• Venous catheter complication, catheter dislocation, chemotherapy

References

1. Sakamoto E, Hasegawa H, Komatsu S, et al. Complications after implantation of subcutaneous central venous port. Gan To Kagaku Ryoho 2013;40:613-16.
2. Teichgräber UK, Kausche S, Nagel SN. Evaluation of radio- logically implanted central venous port systems explanted due to complications. J Vasc Access 2011;12:306-312.
3. Kock HJ, Krause U, Pietsch M, et al. Implantable catheter systems. Experiences with 1000 patients with central ve- nous ports.Abteilung für Allgemeine Chirurgie, Chirur- gische Klinik und Poliklinik, Universität Essen
4. Barwińska-Pobłocka K, Wydra D, Abacjew-Chmyłko A, Szkop-Dominiak A. The use of venous ports in oncological patients. Ginekol Pol 2013;84:339-343.
5. Capaccioli L, Nistri M, Distante V, et al. Insertion and man- agement of long-term central venous devices: role of radio- logic imaging techniques. Radiol Med 1998;96:369-374.
6. Hájek J, Chovanec V, Chytrý P, et al. Central venous cannula- tion under ultrasonographic and fluoroscopic navigation - 2 year experience. Rozhl Chir 2012;91:660-665.
7. Chang YF, Lo AC, Tsai CH, et al. Higher complication risk of totally implantable venous access port systems in patients with advanced cancer - a single institution retrospective analysis. Palliat Med 2013;27:185-191.