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  • Title: [Fracture and embolization of implantable subclavian venous catheter fragments due to costoclavicular compression: pinch-off syndrome].
    Author: Pérez Bergara E, Pavón Benito A, Lánderer Vázquez T, Salvador Bravo M, Aizcorbe Garralda M, Zugasti O.
    Journal: Rev Esp Anestesiol Reanim; 2009 Feb; 56(2):115-8. PubMed ID: 19334661.
    Abstract:
    The fracture of an implantable subclavian venous access device and the subsequent embolization of a catheter fragment is a known complication that is usually associated with a set of clinical and radiologic signs of costoclavicular compression. This scenario is also known as pinch-off syndrome. We describe 2 cases of venous port fracture which led us to review the efficacy of follow-up procedures used in our hospital. As a result, we added instructions for radiologic and clinical verification of catheter placement, taking into consideration the dynamic nature of compression. We also established protocols for coordinating the involvement of different services.
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