Pinch-Off Syndrome, a Rare Complication of Totally Implantable Venous Access Device Implantation: A Case Series and Literature Review.
10.5090/kjtcs.2018.51.5.333
- Author:
Burak Mehmet ILHAN
1
;
Ismail Cem SORMAZ
;
Rüştü TÜRKAY
Author Information
1. Department of General Surgery, Istanbul University, Istanbul Faculty of Medicine, Turkey. burakmd@yahoo.com
- Publication Type:Original Article
- Keywords:
Totally implantable venous access device;
Pinch off syndrome;
Catheter fracture
- MeSH:
Angiography;
Catheters;
Central Venous Catheters;
Drug Therapy;
Early Diagnosis;
Heart;
Humans;
SNARE Proteins
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2018;51(5):333-337
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Pinch-off syndrome (POS) is a rare complication after totally implantable venous access device (TIVAD) implantation. In cancer patients, it is important to prevent this rare complication and to recognize it early if it does occur. We present a case series of POS after TIVAD implantation and the results of a literature search about this complication. METHODS: From July 2006 to December 2015, 924 permanent implantable central venous catheter implantation procedures were performed. The most common indication was vascular access for chemotherapy. RESULTS: POS occurred in 5 patients in our clinic. Two patients experienced POS within 2 weeks, and the other 3 patients were admitted to department of surgery, Istanbul Faculty of Medicine at 6 to 14 months following implantation. The catheters were found to be occluded during medication administration, and all patients complained of serious pain. The transected fragments of the catheters had migrated to the heart. They were successfully removed under angiography with a single-loop snare. CONCLUSION: POS is a serious complication after TIVAD implantation. It is important to be aware of this possibility and to make an early diagnosis in order to prevent complications such as drug extravasation and occlusion events.
