You are here

  • Home
  • Archive
  • Volume 2017, Issue
  • Four-dimensional CT-guided transcatheter removal of a fractured migrated catheter of a totally implantable venous access port

Article Text

Article menu
Download PDFPDF
Case report
Four-dimensional CT-guided transcatheter removal of a fractured migrated catheter of a totally implantable venous access port
  1. Kazushi Fujimoto1,
  2. Hajime Kasai2,
  3. Toshihiko Sugiura2,
  4. Koichiro Tatsumi2
  1. 1Department of Medicine, School of Medicine, Chiba University, Chiba, Chiba, Japan
  2. 2Department of Respirology, Graduate School of Medicine, Chiba University, Chiba, Chiba, Japan
  1. Correspondence to Dr Hajime Kasai, daikasai6075{at}yahoo.co.jp

Summary

Patients undergoing chemotherapy usually undergo placement of a totally implantable venous access port (TIVAP), but TIVAP catheter fracture is rare. We encountered a case where flushing the TIVAP catheter became impossible because of resistance. A 61-year-old-woman underwent TIVAP placement. Although a chest X-ray revealed the fractured catheter had migrated into the right hilar area, the timing of the fracture was unclear. Four-dimensional computed tomography (4D-CT) showed that the tip of the fractured catheter was located at the anterior segmental artery of the right upper lobe and was immobile, with the remaining portion flapping with the blood flow. Transcatheter removal of the migrated catheter was judged to be possible and was performed successfully. 4D-CT may be useful as an appropriate approach in transcatheter removal of a migrated fractured catheter.

  • interventional radiology
  • pulmonary embolism

https://doi.org/10.1136/bcr-2017-221445

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors KF is the guarantor of this manuscript and contributed to writing and reviewing of the entire manuscript. HK and TS contributed to image analysis and critical review of the manuscript. KT contributed to critical review of the manuscript.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.