Misplacement of a Port Catheter: A Differentiated View
Clinical radiological controls after the insertion of central venous catheters (CVC) are of high importance. Misplacement of the CVC, outside of large vessels, as described in our first case, occurs in more than 7% of cases and may be associated with life-threatening events. A persistent left-sided...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Case Reports in Radiology |
| Online Access: | http://dx.doi.org/10.1155/2017/1640431 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849398828485050368 |
|---|---|
| author | Christoph Evers Angelos Gazis Wendy Thuss-Patiance Albrecht Kretzschmar |
| author_facet | Christoph Evers Angelos Gazis Wendy Thuss-Patiance Albrecht Kretzschmar |
| author_sort | Christoph Evers |
| collection | DOAJ |
| description | Clinical radiological controls after the insertion of central venous catheters (CVC) are of high importance. Misplacement of the CVC, outside of large vessels, as described in our first case, occurs in more than 7% of cases and may be associated with life-threatening events. A persistent left-sided superior vena cava (PLSSVC) occurs in 0.3–0.5% of the standard population. In one of the cases a CT scan of the chest showed the catheter in a PLSSVC. Neoadjuvant radiochemotherapy was indicated in a patient with an adenocarcinoma of the oesophagus. Under hospitalised monitoring, full-dose chemotherapy was given. Consequences for the patients arise when the findings are known for future interventions. If a PLSSVC is expected and a CVC is to be inserted, the venous return to the heart should be evaluated first, to preclude a possible backflow to the left atrium. With this constellation, a right-to-left shunt can be expected in in 10% of cases. Affected patients face a high risk of developing cardioembolic events. |
| format | Article |
| id | doaj-art-9f9b045864e94e41b7b96dcd6559864c |
| institution | Kabale University |
| issn | 2090-6862 2090-6870 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Radiology |
| spelling | doaj-art-9f9b045864e94e41b7b96dcd6559864c2025-08-20T03:38:30ZengWileyCase Reports in Radiology2090-68622090-68702017-01-01201710.1155/2017/16404311640431Misplacement of a Port Catheter: A Differentiated ViewChristoph Evers0Angelos Gazis1Wendy Thuss-Patiance2Albrecht Kretzschmar3Department of Radiation Oncology, University of Halle, Halle (Saale), GermanyDepartment of Radiology, St. Georg Hospital Leipzig, Leipzig, GermanyDepartment of Pneumology, Protestant Lung Hospital Berlin, Berlin, GermanyDepartment of Medical Oncology, St. Georg Hospital Leipzig, Leipzig, GermanyClinical radiological controls after the insertion of central venous catheters (CVC) are of high importance. Misplacement of the CVC, outside of large vessels, as described in our first case, occurs in more than 7% of cases and may be associated with life-threatening events. A persistent left-sided superior vena cava (PLSSVC) occurs in 0.3–0.5% of the standard population. In one of the cases a CT scan of the chest showed the catheter in a PLSSVC. Neoadjuvant radiochemotherapy was indicated in a patient with an adenocarcinoma of the oesophagus. Under hospitalised monitoring, full-dose chemotherapy was given. Consequences for the patients arise when the findings are known for future interventions. If a PLSSVC is expected and a CVC is to be inserted, the venous return to the heart should be evaluated first, to preclude a possible backflow to the left atrium. With this constellation, a right-to-left shunt can be expected in in 10% of cases. Affected patients face a high risk of developing cardioembolic events.http://dx.doi.org/10.1155/2017/1640431 |
| spellingShingle | Christoph Evers Angelos Gazis Wendy Thuss-Patiance Albrecht Kretzschmar Misplacement of a Port Catheter: A Differentiated View Case Reports in Radiology |
| title | Misplacement of a Port Catheter: A Differentiated View |
| title_full | Misplacement of a Port Catheter: A Differentiated View |
| title_fullStr | Misplacement of a Port Catheter: A Differentiated View |
| title_full_unstemmed | Misplacement of a Port Catheter: A Differentiated View |
| title_short | Misplacement of a Port Catheter: A Differentiated View |
| title_sort | misplacement of a port catheter a differentiated view |
| url | http://dx.doi.org/10.1155/2017/1640431 |
| work_keys_str_mv | AT christophevers misplacementofaportcatheteradifferentiatedview AT angelosgazis misplacementofaportcatheteradifferentiatedview AT wendythusspatiance misplacementofaportcatheteradifferentiatedview AT albrechtkretzschmar misplacementofaportcatheteradifferentiatedview |