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Reminder of important clinical lesson
Pinch-off syndrome: transection of implantable central venous access device
  1. Takuya Sugimoto,
  2. Hiroshi Nagata,
  3. Ken Hayashi,
  4. Nobuyasu Kano
  1. Department of Surgery, Kameda Medical Center, Kamogawa-city, Chiba, Japan
  1. Correspondence to Dr Takuya Sugimoto, taku1313{at}yahoo.co.jp

Summary

As the population of people with cancer increases so does the number of patients who take chemotherapy. Majority of them are administered parentally continuously. Implantable central venous catheter device is a good choice for those patients; however, severe complication would occur concerning the devices. Pinch-off syndrome is one of the most severe complications. The authors report a severe case of pinch-off syndrome. The patient with the implantable central venous device could not take chemotherapy because the device occluded. Further examination revealed the transection of the catheter. The transected fragment of the catheter in the heart was successfully removed by using a loop snare placed through the right femoral vein.

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