Anıl AVCI, Muhammet TELLİCE, Emrah BAYAM, Burak ÖZTÜRKERİ, Gökhan ALICI

Pinch-off Sendromlu Bir Hastada Embolize Olmuş Santral Venöz Kemoport Kateterinin Perkütan Yol ile Çıkarılması

Kemoterapi portunun klavikula ve 1. kot arasında sıkışmasına bağlı kopması ve embolizasyonu (pinch-off sendromu) nadir görülen ancak ciddi bir komplikasyondur. Pinch-off sendromu kemoterapi portunun yerleştirilmesinden ortalama 5.3 ay sonra oluşmakla birlikte 60. aya kadar da görülebilmektedir. Bu çalışmamızda; meme tümörü olan bir hastada, kemoport kateterinin 5 yıl sonra sağ atriyuma embolize olması sonucu gelişen pinch-off sendromu olgusunu sunuyoruz. Embolize olan santral venöz kemoport kateterinin loop snare kateter kullanılarak perkütan yol ile çıkarılması geç dönem pinch-off sendromu olgularında dahi güvenli ve etkili bir yöntem olabilir.

Anahtar Kelimeler:

Santral venöz port, kemoport, pinch-off sendromu

Percutaneous Retrieval of an Embolized Central Venous Chemoport Catheter in a Patient with Pinch-off Syndrome

Transection and embolization of a chemoport secondary to a pinching effect between the clavicle and first rib (pinch-off syndrome) is a rare but serious complication. Pinch-off syndrome usually occurs approximately 5.3 months after the insertion of the catheter. We are reporting a case of an embolized chemoport catheter into the right atrium that occurred 5 years after the chemoport implantation in a patient with breast cancer. Percutaneous retrieval of an embolized chemoport catheter using a snare loop catheter may be safe and effective even in patients who presented very late with pinch-off syndrome.

Keywords:

Central venous port, chemoport, pinch-off syndrome,

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