Figure 4 - available via license: Creative Commons Attribution 4.0 International
Content may be subject to copyright.
Source publication
Totally implantable catheters tend to be the most popular choice because once installed they allow permanent access to a deep vein, which is gained by puncturing the port rather than a vein.
In this article, we explain four cases of chemotherapy port complications: superior vena cava (SVC) syndrome in a metastatic colorectal cancer patient who pres...
Context in source publication
Context 1
... 3-a 5-year-old male child was diagnosed as having Hodgkin's lymphoma during the evaluation of cervical lymphadenopathy and weight loss. He was planned for chemotherapy, and a central vein chemo port was implanted in a pediatric hospital. They took a chest X-ray (Fig. 4) after the procedure and understood the catheter is in the carotid artery instead of the jugular vein so they consulted with us and sent the child in <4 h to our vascular surgery operating room. We prepped and draped the neck of the child and removed the catheter from the carotid artery and packed it for 20 min. The child discharged the ...
Similar publications
Key Clinical Message
Application of central venous catheters become more common however a rare complication, embolization, can occur which lead to high mortality rate. Therefore, cardiovascular foreign bodies should be immediately remove with a safe and effective method and algorithm. So, we investigate the results of cardiovascular foreign body re...
Citations
... 3 The increasing use of central venous access devices, such as port-a-cath systems, which are placed to facilitate long-term chemotherapy administration, has led to an increase in the number of patients diagnosed with superior vena cava syndrome. [4][5][6] Thrombotic complications of port-a-cath systems occur most commonly due to stenosis or occlusion of the host vein due to thrombus formation at the catheter tip, which more commonly occurs when the catheter tip is incorrectly positioned. 7,8 ...
Background: External compression, thrombosis, or stenosis of the superior vena cava can lead to superior vena cava syndrome, a diagnosis that should be considered swiftly in patients presenting with classic symptoms such as facial and neck swelling, plethora, and distended neck veins. Case Presentation: We report a case of acute port-a-cath associated superior vena cava thrombosis in a longstanding, previously uncomplicated vascular access device in a patient with stable ER+/PR+/HER2+ metastatic breast cancer. After initial treatment, there was limited clinical improvement with subcutaneous low molecular weight heparin (LMWH). Following multidisciplinary team discussion, catheter-directed thrombolysis was performed, which resulted in complete symptom resolution. Conclusion: The recognition of signs and symptoms is crucial in diagnosing acute superior vena cava syndrome, particularly in patients with a malignancy history or a central venous access device in situ. The thrombotic complications of port-a-cath symptoms can occur at any time and management should be guided by multidisciplinary discussion. In appropriately selected patients, catheter-directed thrombolysis can be successful and can lead to rapid symptom resolution.
