Abstract
A case of spontaneous fracture of the outlet catheter of a totally implanted catheter system (Port-A-Cath) is presented. The outlet catheter was fractured at the entrance into the left subclavian vein twenty-one weeks after insertion and the distal part was embolized in the right ventricle. The embolized catheter fragment was retrieved by a 'goose-neck' snare via the right femoral vein. The awareness of a possible spontaneous fracture of the outlet catheter of a totally implanted catheter system (Port-A-Cath) is important to prevent accidental spillage of potent cytotoxic substances.
MeSH terms
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Adolescent
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Antineoplastic Combined Chemotherapy Protocols / administration & dosage
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use
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Bleomycin / administration & dosage
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Catheterization, Central Venous* / adverse effects
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Catheters, Indwelling / standards*
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Doxorubicin / administration & dosage
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Female
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Fluoroscopy
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Foreign-Body Migration / therapy*
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Heart Ventricles*
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Hodgkin Disease / drug therapy
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Humans
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Infusion Pumps, Implantable
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Mechlorethamine / administration & dosage
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Prednisone / administration & dosage
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Procarbazine / administration & dosage
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Subclavian Vein
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Vinblastine / administration & dosage
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Vincristine / administration & dosage
Substances
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Bleomycin
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Procarbazine
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Mechlorethamine
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Vincristine
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Vinblastine
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Doxorubicin
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Prednisone