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  • Title: Evaluation of catheter loops in central venous port systems.
    Author: Behrendt FF, Wingen M, Katoh M, Guenther RW, Buecker A.
    Journal: Invest Radiol; 2006 Nov; 41(11):777-80. PubMed ID: 17035867.
    Abstract:
    OBJECTIVES: We sought to evaluate the cause for catheter loops of central venous ports. MATERIAL AND METHODS: A total of 241 patients who received a central venous port via subclavian vein access were included in this retrospective study. Eighty of these patients had undergone a computed tomography of the chest, allowing retrospective evaluation of the course of central venous catheters. Complications were evaluated by review of the clinical data charts. RESULTS: In 49 patients, the catheter penetrated only the major pectoralis muscle. Only one of these patients (2.0%) showed a loop. In 31 cases, the catheter went through both the major and minor pectoralis muscle, and in 26 of these patients (83.9%), a loop was seen. Complications after port implantation were catheter occlusion (n = 2), pneumothorax (n = 2), thrombosis (n = 2), infection (n = 1), and catheter dislocation (n = 1). CONCLUSIONS: The loop of catheter of central venous ports is caused by catheter penetration through pectoralis major and minor.
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