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Acta Medica Iranica، جلد ۵۷، شماره ۱۲، صفحات ۶۸۶-۶۸۹
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عنوان انگلیسی Causes of fracture at catheter of totally implantable venous access port
چکیده انگلیسی مقاله A totally implantable venous access port (TIVAP) plays a crucial role in the treatment of patients in oncology. Catheter fracture is a serious complication with an estimated incidence of 0,1%-1%. The objective of this study is to analyze mechanism of TIVAP fracture to make physicians aware about this fatal entity. Methods: A search of the literature between 1980 and 2017 was conducted using PubMed, Ovid, MEDLINE and Cochrane Systematic Review databases. The search identified 18 case reports and 8 retrospective studies. Results: Fracture of the middle part of the catheter may be induced by constant compression of the catheter between the first-rib and clavicle, which is called the pinch-off syndrome. Catheter fracture at the port-catheter junction may be caused by extrinsic compression near the port-catheter junction combined with material fatigue due to repeated bending of the catheter with shoulder movement. Conclusion: There is no specific cause for the fracture of a catheter tip. Annual chest X-ray is recommended for early detection of TIVAP catheter fracture. Percutaneous endovascular retrieval of a dislodged Port-A catheter is both safe and effective.
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نویسندگان مقاله | Wala Ben Kridis
Habib Bourguiba Hospital


| Nabil Toumi


| Afef Khanfir


نشانی اینترنتی http://acta.tums.ac.ir/index.php/acta/article/view/7819
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/56/article-56-2442552.pdf
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