Central venous catheter pinch-off and fracture: Recognition, prevention and management

Bone Marrow Transplantation

Volumn 31, Issue 10, 2003, Pages 927-930

  Fazeny Dorner B ^a   Wenzel, C ^a   Berzlanovich, A ^a   Sunder Plassmann, G ^a   Greinix, H ^a   Marosi, C ^a   Muhm, M ^b  

^a UNIVERSITY OF VIENNA   (Austria)

^b UNIVERSITY OF BERN   (Switzerland)

Author keywords

Catheter fracture; Central venous catheters; Infraclavicular approach; Pinch off; Preventive practices; Supralavicular approach

Indexed keywords

ANTINEOPLASTIC AGENT; LOW MOLECULAR WEIGHT HEPARIN;

ACUTE LYMPHOCYTIC LEUKEMIA; ADULT; ARTICLE; AUTOLOGOUS BONE MARROW TRANSPLANTATION; CASE REPORT; CENTRAL VENOUS CATHETER; COMPLICATION; DEVICE REMOVAL; FEMALE; HUMAN; LEUKOPENIA; PRACTICE GUIDELINE; PRIORITY JOURNAL; SURGICAL APPROACH; SURGICAL TECHNIQUE; THROMBOCYTOPENIA;

ADOLESCENT; BONE MARROW TRANSPLANTATION; CATHETERIZATION, CENTRAL VENOUS; EQUIPMENT FAILURE; FEMALE; HUMANS; LEUKEMIA, LYMPHOCYTIC, ACUTE; MONITORING, PHYSIOLOGIC; RADIOGRAPHY, THORACIC; TRANSPLANTATION, AUTOLOGOUS;

EID: 0037945436     PISSN: 02683369     EISSN: None     Source Type: Journal    
DOI: 10.1038/sj.bmt.1704022     Document Type: Article

References (30)

1. Puel V, Caudry M, Le-Metayer P. Superior vena cava thrombosis related to catheter malposition in cancer chemotherapy given through implanted ports. Cancer 1993; 72: 2248-2252.
2. Al-Hathal M, Malmfors G, Garwicz S, Bekassy AN. Port-a-cath in children during long-term chemotherapy: complication and outcome. Pediatr Hematol Oncol 1986; 6: 17-22.
3. Eastridge BJ, Lefort AT. Compilication of indwelling venous access devices in cancer patients. J Clin Oncol 1995; 13: 233-238.
4. Muhm M, Sunder-Plassmann G, Druml W. Malposition of a dialysis catheter in the accessory hemiazygos vein. Anesth Analg 1996; 83: 883-885.
5. Noyen J, Hoorntje J, de Langen Z et al. Spontaneous fracture of the catheter of a totally implantable venous access port: case report of a rare complication. J Clin Oncol 1987; 5: 1295-1299.
6. Aitken DR, Minton JP. The 'pinch-off sign': a warning of impending problems with permanent subclavian catheters. Am J Surg 1984; 148: 633-636.
7. Hinke DH, Zandt-Stasny DA, Goodman LR et al. Pinch-off syndrome: a complication of implantable subclavian venous access devices. Radiology 1990; 177: 353-356.
8. Muhm M, Sunder-Plassmann G, Kührer I et al. Secondary migration: a complication of Hickman central venous catheters. Bone Marrow Transplant 1996; 18: 651-654.
9. Andris DA, Krzywda EA, Schulte W et al. Pinch-off syndrome: a rare etiology for central venous catheter occlusion. J Parent Ent Nutr 1994; 18: 531-533.
10. Coles CE, Whitear WP, Le-Vay JH. Spontaneous fracture and embolization of a central venous catheter: prevention and early detection. Clin Oncol R Coll Radiol 1998; 10: 412-414.
11. Hou WY, Sun WZ, Chen YA et al. 'Pinch-off sign' and sponateous fracture of an implanted central venous catheter: report of a case. J Formos Med Assoc 1994; 93 (Suppl. 1): 65-69.
12. Huang CH, Chen WJ, Ho YL et al. Nonsurgical transvenous retrieval of fractured implaitable central venous access device. J Formos Med Assoc 1999; 98: 260-270.
13. Klotz HP, Schöpke W, Kohler A et al. Catheter fracture: a rare complication of totally implantable subclavian venous access devices. J Surg Oncol 1996; 62: 222-225.
14. Koller M, Papa MZ, Zweig A, Ben-Ari G. Spontaneous leak and transaction of permanent subclavian catheters. J Surg Oncol 1998; 68: 166-168.
15. Nace CS, Ingle RJ. Central venous; catheter 'pinch-off' and fracture: a review of two under-recognized complications. Oncol Nurs Forum 1993; 20: 1227-1236.
16. Punt CJ, Strijk S, van der Hoeven JJ et al. Spontaneous fracture of implanted central venous catheters in cancer patients: report of two cases and retrospective analysis to the 'pinch-off sign' as a risk factor. Anticancer Drugs 1995; 6: 594-598.
17. Ramsden WH, Cohen AT, Blanshard KS. Case report: central venous catheter fracture due to compression between the clavicle and first rib. Clin Radiol 1995; 50: 59-60.
18. Vadlamani P, Dawn B, Perry MC. Catheter fracture and embolization from totally implanted venous access ports. Angiology 1998; 49: 1013-1016.
19. Röggla G, Linkesch M, Röggla M. A rare complication of a central venous catheter system (Port-a-Cath). A case report of a catheter embolisation after catheter fracture during power training. Int J Sports Med 1993; 14: 345-346.
20. Stanislav GV, Fitzgibbons Jr RJ, Bailey Jr RT et al. Reliability of implantable central venous access devices in patients with cancer. Arch Surg 1987; 122: 1280-1283.
21. Rubenstein RB, Alberty RE, Michels LG et al. Hickman catheter separation. J Parent Enter Nutr 1985; 9: 754-757.
22. Muhm M, Sunder-Plassmann G, Apsner R et al. Supraclavicular approach to the subclavian/innominate vein for large-bore central venous catheters. Am J Kid Dis 1997; 30: 802-808.
23. Apsner R, Schulenburg A, Sunder-Plassmann G et al. Routine fluoroscopic guidance is not required for placement of Hickman catheters via the supraclavicular route. Bone Marrow Transplant 1998; 21: 1149-1152.
24. Ray S, Stacey R, Imrie M. A review of 560 Hickman catheter insertions. Anaesthesia 1996; 51: 981-985.
25. Cockburn JF, Eynon CA, Virji N. Insertion of Hickman central venous catheters by using angiographic techniques in patients with hematologic disorders. Am J Roentgenol 1992; 159: 121-124.
26. Muhm M, Kahls P, Sunder-Plassmann G et al. Percutaneous nonangiographic insertion of hickman catheters in marrow transplant recipients by anaesthesiologists and intensivists. Anesth Analg 1997; 84: 80-84.
27. Muhm M, Sunder-Plassmann G. In response: radiological screening for Hickman catheter insertion. Anesth Analg 1998; 86: 216-217.
28. Apsner R, Muhm M, Unver B et al. Expanding our interventional skills: placement of totally implantable injection ports by internists/intensivists. Acta Med Austriaca 2001; 28: 23-26.
29. Fisher RG, Ferreyro R. Evaluation of current techniques for nonsurgical removal of intravascular iatrogenic foreign bodies. Am J Roentgenol 1978; 130: 541-548.
30. Muhm M, Sunder-Plassmann G, Apsner R et al. Malposition of central venous catheters. Incidence, management preventive practices. Wien Klin Wochenschr 1997; 109: 400-405.