A case is presented of the fracture and embolization of a peripherally inserted central venous catheter. This novel complication is discussed in the context of patients in alternate care settings with emphasis on retrieval of the embolized catheter fragment, morbidity of catheter embolization, and precautions against inadvertent fracture in the home care setting. (Journal of Parenteral and Enteral Nutrition18:79-80, 1994)
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References
1.
Markel S., Reynen K.: Impact on patient care: 2652 PIC catheter days in the alternative setting . J Intravenous Nurs13:347-351, 1990
2.
Rountree D.: The PIC catheter: A different approach. Am J Nurs91:22-26, 1991
3.
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 Oncol5:1295-1299, 1987
4.
Kirvela O., Satokari K.: In situ breakage of a totally implanted venous access system. JPEN13:99-101, 1989
5.
Van der Hem KG, Meijer S., Werter Cjpj, et al: "Spontaneous" catheter fracture and embolization of a totally implanted venous access port . Neth J Med38:262-264, 1991
6.
Bauch TD, Stoughton TL, Pearl W.: Breakage of an embolized intravascular catheter fragment: A complication of nonsurgical transvenous retrieval. JPEN16:175-177, 1992
7.
Fisher RG, Ferreyro R.: Evaluation of current techniques for nonsurgical removal of intravascular iatrogenic foreign bodies. Am J Roentgenol130:541-548, 1978
8.
Aitken DR, Minton JP: The "pinch-off sign": A warning of impending problems with permanent subclavian catheters. Am J Surg148:633-636, 1984