[Catheter break in an implantable central venous infusion system with embolization in the pulmonary artery]

Dtsch Med Wochenschr. 1989 Dec 1;114(48):1882-4. doi: 10.1055/s-2008-1066843.
[Article in German]

Abstract

A central venous catheter with a subcutaneous infusion port was implanted for chemotherapy into a 64-year-old woman with gastric lymphoma. Six weeks later, two weeks after a trivial trauma with hyperextension of the shoulder joint, it was found that the catheter had broken and its tip portion had embolized into the pulmonary artery: it was retrieved without difficulty via the femoral vein. This event suggests that pressure between clavicle and first rib can cause material fatigue in a silicon catheter. Such catheters should therefore not be implanted via the subclavian vein.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Agents / administration & dosage
  • Catheterization, Central Venous*
  • Catheters, Indwelling
  • Female
  • Humans
  • Infusions, Intravenous
  • Lymphoma / drug therapy
  • Middle Aged
  • Pulmonary Embolism / etiology*
  • Shoulder Injuries*
  • Stomach Neoplasms / drug therapy

Substances

  • Antineoplastic Agents