Venöz erişim portu yerleştirilmesi sonrası sıradışı bir kateter malpozisyonu: Kateter ucu sağ aksiller vende lokalize

Öz

Tamamen implante edilebilir venöz erişim port cihazları, tekrarlayan kemoterapi uygulamaları, kan örneklemesi, intravenöz hidrasyon ve parenteral nütrisyon için kanser hastalarında veya kronik hastalarda son yıllarda giderek daha fazla kullanılmaktadır. Tamamen implante edilebilir venöz erişim port cihazlarının yerleştirilmesi sırasında kateter malpozisyonu da dahil olmak üzere birçok potansiyel komplikasyon gelişebilir. Kateter malpozisyonu, tamamen implante edilebilir venöz erişim port yerleştirilmesinin daha az tarif edilmiş ancak önemli bir komplikasyonudur. Bu makalede, 47 yaşında bir kadın hastada tamamen implante edilebilir venöz erişim portu yerleştirilmesi sonrası gelişen sıradışı bir kateter malpozisyonu olgusu sunuldu. Bildiğimiz kadarıyla, bu olgu tamamen implante edilebilir venöz erişim portu yerleştirilmesi sonrası kateter ucunun sağ aksiller ven içinde konumlandığı literatürdeki ilk rapordur.

Anahtar Kelimeler

• Tamamen implante edilebilir venöz erişim portu,Kateter malpozisyonu,Komplikasyon,İstenmeyen olay

An unusual catheter malposition following totally implantable venous access port insertion: The catheter tip located into the right axillary vein

Öz

Totally implantable venous access port (TIVAP) devices have been used increasingly for repetitive chemotherapy administration, long-term parenteral nutrition, blood sampling and blood transfusion for last years. Several potential complications including catheter malposition can occur during the insertion of TIVAP devices. Catheter malposition is a less commonly reported and an important complication of TIVAP insertion. In this article, we presented an uncommon case report of catheter malposition following TIVAP insertion in a 47-year-old woman. To the best of our knowledge, this is the first reported case of mispositioned TIVAP where the tip of the catheter is in the right axillary vein.

Anahtar Kelimeler

• Totally implantable venous access port,Catheter malposition,Complication,Adverse event

Kaynakça

1. 1. Deser SB, Demirag MK. Analysis of totally implantable venous access of 70 cases with modified fast track technique. Turk J Vasc Surg. 2017;26:39-44.
2. 2. Kock HJ, Pietsch M, Krause U, Wilke H, Eigler FW. Implantable vascular access systems: experience in 1500 patients with totally implanted central venous port systems. World J Surg. 1998;22:12-6.
3. 3. Roldan CJ, Paniagua L. Central venous catheter intravascular malpositioning: causes, prevention, diagnosis, and correction. West J Emerg Med. 2015;16:658-64.
4. 4. Niederhuber JE, Ensminger W, Gyves JW, Liepman M, Doan K, Cozzi E. Totally implanted venous and arterial access system to replace external catheters in cancer treatment. Surgery. 1982;92:706-12.
5. 5. Kurul S, Saip P, Aydin T. Totally implantable venous-access ports: local problems and extravasation injury. Lancet Oncol. 2002;3:684-92.
6. 6. Walshe C, Phelan D, Bourke J, Buggy D. Vascular erosion by central venous catheters used for total parenteral nutrition. Intensive Care Med. 2007;33:534-7.
7. 7. Guth AA. Routine chest X-rays after insertion of implantable long-term venous catheters: necessary or not? Am Surg. 2001;67:26-9.
8. 8. Yildizeli B, Laçin T, Batirel HF, Yüksel M. Complications and management of long-term central venous access catheters and ports. J Vasc Access. 2004;5:174-8.

9. 9. Araújo C, Silva JP, Antunes P, Fernandes JM, Dias C, Pereira H, et al. A comparative study between two central veins for the introduction of totally implantable venous access devices in 1201 cancer patients. Eur J Surg Oncol. 2008;34:222-6.
10. 10. Narducci F, Jean-Laurent M, Boulanger L, El Bédoui S, Mallet Y, Houpeau JL, et al. Totally implantable venous access port systems and risk factors for complications: a one-year prospective study in a cancer centre. Eur J Surg Oncol. 2011;37:913-8.
11. 11. Keum DY, Kim JB, Chae MC. Safety of a totally implantable central venous port system with percutaneous subclavian vein access. Korean J Thorac Cardiovasc Surg. 2013;46:202-7.
12. 12. An H, Ryu CG, Jung EJ, Kang HJ, Paik JH, Yang JH, Hwang DY. Insertion of totally implantable central venous access devices by surgeons. Ann Coloproctol. 2015;31:63-7.
13. 13. Gurkan S, Seber S, Gur O, Yetisyigit T, Okan Donbaloglu M, Ozkaramanli Gur D. Retrospective evaluation of totally implantable venous access port devices: early and late complications. J BUON. 2015;20:338-45.
14. 14. Ma LI, Liu Y, Wang J, Chang Y, Yu L, Geng C. Totally implantable venous access port systems and associated complications: A single-institution retrospective analysis of 2,996 breast cancer patients. Mol Clin Oncol. 2016;4:456-60.
15. 15. Feo CF, Ginesu GC, Bellini A, Cherchi G, Scanu AM, Cossu ML, et al. Cost and morbidity analysis of chest port insertion in adults: Outpatient clinic versus operating room placement. Ann Med Surg (Lond). 2017;21:81-4.
16. 16. Yanık F, Karamustafaoğlu YA, Karataş A, Yörük Y. Experience in totally implantable venous port catheter: analysis of 3000 patients in 12 years. Turk Gogus Kalp Dama. 2018;26:422-8.
17. 17. Kim DH, Ryu DY, Jung HJ, Lee SS. Evaluation of complications of totally implantable central venous port system insertion. Exp Ther Med. 2019;17:2013-8.
18. 18. Teichgräber UK, Kausche S, Nagel SN, Gebauer B. Outcome analysis in 3,160 implantations of radiologically guided placements of totally implantable central venous port systems. Eur Radiol. 2011;21:1224-32.
19. 19. Yoldaş H, Karagöz İ, Demirkol ME, Velioğlu Y, Yıldız İ. Widespread thrombus during central venous catheterization in ultrasonography: a case. Abant Med J. 2017;6:71-3.
20. 20. Menteş O, Cırık MÖ, Ünver M, Avcı S, Doğanay G, Alagöz A. Ultrasonographically marked catheterization of internal jugular vein in intensive care patients: Retrospective cohort study. J Surg Med. 2019;3:553-6.