Hepatic vein migration of a totally implantable venous access port-a-cath for chemotherapy in a breast carcinoma patient: case report

被引：0

作者：

Rio Lima Silveira, Augusto Cesar Maia ^{[1
]}

Fonseca Fernandes, Paula Shelda ^{[1
]}

da Silva Fontinele, Danilo Rafael ^{[2
]}

Assuncao Ribeiro da Costa, Rafael Everton ^{[2
]}

Araujo, Jose Eduardo Prado ^{[3
]}

Sousa Junior, Wilson de Oliveira ^{[3
,4
]}

Vieira, Sabas Carlos ^{[5
,6
]}

机构：

[1] Ctr Univ Uninovafapi, Teresina, PI, Brazil

[2] Univ Estadual Piaui, Teresina, PI, Brazil

[3] Hosp Terapia Intens, Teresina, PI, Brazil

[4] Univ Fed Piaui UFPI, Ciencias & Saude, Teresina, PI, Brazil

[5] Univ Estadual Campinas UNICAMP, Campinas, SP, Brazil

[6] Oncocenter, Dept Tocoginecol, Teresina, PI, Brazil

来源：

JORNAL VASCULAR BRASILEIRO | 2022年 / 21卷

关键词：

complications; catheters; neoadjuvant chemotherapy; hepatic veins; breast neoplasms; case reports; COMPLICATIONS; REMOVAL;

D O I：

10.1590/1677-5449.202101892

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

A totally implantable venous access port (TIVAP) is used for chemotherapy administration. Venous port migration to the systemic circulation occurs in less than 1% of complications. The aim of this study is to describe a case of TIVAP migration to the hepatic vein. A 44-year-old female patient with breast cancer was prescribed neoadjuvant chemotherapy. A port-a-cath was surgically implanted for chemotherapy. During the port puncture procedure, blood returned normally when aspirated. When the port was first accessed and flushed with saline solution, swelling was observed at the port site and blood could no longer be aspirated. A chest radiography showed catheter embolization in the region of the hepatic vein. The catheter was retrieved using a snare technique (without complications) and the patient was discharged the next day. The care team should be alert to possible TIIVAP malfunction.

引用

页数：5

共 9 条

[1]

Cakir F, 2014, REV BRAS ANESTESIOL, V64, P275, DOI [10.1016/j.bjane.2012.11.001, 10.1016/j.bjan.2012.11.001]

[2]

Leal JMD, 2010, REV BRAS CIR CARDIOV, V25, P202

[3]

Danski MTR, 2017, J NURS UFPE LINE, V11, P5049, DOI [10.5205/1981-8963-v11i12a25104p5049-5058-2017, DOI 10.5205/1981-8963-V11I12A25104P5049-5058-2017]

[4]

Garcez Barhbara Brenda Dias, 2018, J Vasc Bras, V17, P89, DOI 10.1590/1677-5449.007717

[5]

Fonseca IYI, 2016, EINSTEIN-SAO PAULO, V14, P473, DOI [10.1590/s1679-45082016ao3606, 10.1590/S1679-45082016AO3606]

[6] Investigation of Complications Following Port Insertion in a Cancer Patient Population: A Retrospective Analysis [J].

Skelton, William Paul ;

Franke, Aaron J. ;

Welniak, Samantha ;

Bosse, Raphael C. ;

Ayoub, Fares ;

Murphy, Martina ;

Starr, Jason S. .

CLINICAL MEDICINE INSIGHTS-ONCOLOGY, 2019, 13

[7] Availability of totally implantable venous access devices in cancer patients is high in the long term: a seven-year follow-up study [J].

Tumay, Latif Volkan ;

Guner, Osman Serhat .

SUPPORTIVE CARE IN CANCER, 2021, 29 (07) :3531-3538

[8] Totally implantable venous access ports: a prospective long-term study of early and late complications in adult patients with cancer [J].

Voog, Eric ;

Campion, Loic ;

du Rusquec, Pauline ;

Bourgeois, Hugues ;

Domont, Julien ;

Denis, Fabrice ;

Emmanuel, Eric ;

Dupuis, Olivier ;

Ganem, Gerard ;

Lafont, Cedrik ;

Le Du, Katell ;

Pavluc, Elena ;

Pointreau, Yohan ;

Roche, Sophie ;

Juhel-Voog, Laurence ;

Zinger, Marie ;

Solal-Celigny, Philippe .

SUPPORTIVE CARE IN CANCER, 2018, 26 (01) :81-89

[9] Implanting totally implantable venous access ports in the upper arm is feasible and safe for patients with early breast cancer [J].

Xu, Haiping ;

Chen, Rui ;

Jiang, Chaojun ;

You, Sainan ;

Zhu, Qiannan ;

Li, Yan ;

Li, Shuo ;

Zha, Xiaoming ;

Wang, Jue .

JOURNAL OF VASCULAR ACCESS, 2020, 21 (05) :609-614

← 1 →