Endovascular management of the peripherally inserted central venous catheter iatrogenic pinch-off syndrome: A case report

Sergey V. Vlasenko, Maksim V. Agarkov, Anton A. Khilchuk, Sergey G. Scherbak, Andrey M. Sarana, Evgeniy G. Karmazanashvili, Linda P. Kalinina, Vladislav G. Volkov

Research output

Abstract

The recent increase in the number of patients with implanted peripherally inserted central catheters (PICCs) requires physicians to be familiar with rare and unusual complication–pinch-off syndrome (POS). We present a case of a 40-years-old female with human epidermal growth factor receptor type 2 (HER2)–positive breast cancer and implanted Groshong PICC (BARD). The patient was admitted for an elective chest and abdomen CT angiography control after finishing her trastuzumab and paclitaxel chemotherapy course a month earlier. Immediately after the contrast media power injection, the PICC line was embolized to the right segmental pulmonary artery. Due to the low complications rate and early patient ambulation percutaneous foreign body retrieval is a primary option for the pinch-off syndrome, especially in frail, and vulnerable cancer patients. This case underscores the feasibility and safety of percutaneous venous interventions in patients with embolized venous infusion devices.

Original languageEnglish
Pages (from-to)381-384
JournalRadiology Case Reports
Volume14
Issue number3
Early online date3 Jan 2019
DOIs
Publication statusPublished - 1 Mar 2019

Fingerprint

Central Venous Catheters
Catheters
Early Ambulation
Paclitaxel
Foreign Bodies
Abdomen
Contrast Media
Pulmonary Artery
Thorax
Breast Neoplasms
Physicians
Safety
Drug Therapy
Equipment and Supplies
Injections
Neoplasms

Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

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title = "Endovascular management of the peripherally inserted central venous catheter iatrogenic pinch-off syndrome: A case report",
abstract = "The recent increase in the number of patients with implanted peripherally inserted central catheters (PICCs) requires physicians to be familiar with rare and unusual complication–pinch-off syndrome (POS). We present a case of a 40-years-old female with human epidermal growth factor receptor type 2 (HER2)–positive breast cancer and implanted Groshong PICC (BARD). The patient was admitted for an elective chest and abdomen CT angiography control after finishing her trastuzumab and paclitaxel chemotherapy course a month earlier. Immediately after the contrast media power injection, the PICC line was embolized to the right segmental pulmonary artery. Due to the low complications rate and early patient ambulation percutaneous foreign body retrieval is a primary option for the pinch-off syndrome, especially in frail, and vulnerable cancer patients. This case underscores the feasibility and safety of percutaneous venous interventions in patients with embolized venous infusion devices.",
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Endovascular management of the peripherally inserted central venous catheter iatrogenic pinch-off syndrome : A case report. / Vlasenko, Sergey V.; Agarkov, Maksim V.; Khilchuk, Anton A.; Scherbak, Sergey G.; Sarana, Andrey M.; Karmazanashvili, Evgeniy G.; Kalinina, Linda P.; Volkov, Vladislav G.

In: Radiology Case Reports, Vol. 14, No. 3, 01.03.2019, p. 381-384.

Research output

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AU - Agarkov, Maksim V.

AU - Khilchuk, Anton A.

AU - Scherbak, Sergey G.

AU - Sarana, Andrey M.

AU - Karmazanashvili, Evgeniy G.

AU - Kalinina, Linda P.

AU - Volkov, Vladislav G.

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AB - The recent increase in the number of patients with implanted peripherally inserted central catheters (PICCs) requires physicians to be familiar with rare and unusual complication–pinch-off syndrome (POS). We present a case of a 40-years-old female with human epidermal growth factor receptor type 2 (HER2)–positive breast cancer and implanted Groshong PICC (BARD). The patient was admitted for an elective chest and abdomen CT angiography control after finishing her trastuzumab and paclitaxel chemotherapy course a month earlier. Immediately after the contrast media power injection, the PICC line was embolized to the right segmental pulmonary artery. Due to the low complications rate and early patient ambulation percutaneous foreign body retrieval is a primary option for the pinch-off syndrome, especially in frail, and vulnerable cancer patients. This case underscores the feasibility and safety of percutaneous venous interventions in patients with embolized venous infusion devices.

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KW - Interventional oncology

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