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Journal of Parenteral and Enteral Nutrition
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Case Reports

Catheter Fracture and Embolization in a Totally Implanted Venous Access Catheter

Thomas Franey, M.D.

Departments of Surgery and Medicine, North Shore University Hospital, and Cornell University Medical College, Manhasset, New York

Linda C. Demarco, M.D.

Departments of Surgery and Medicine, North Shore University Hospital, and Cornell University Medical College, Manhasset, New York

Alan C. Geiss, M.D., F.A.C.S.

Departments of Surgery and Medicine, North Shore University Hospital, and Cornell University Medical College, Manhasset, New York

Robert J. Ward, M.D., F.A.C.S.

Departments of Surgery and Medicine, North Shore University Hospital, and Cornell University Medical College, Manhasset, New York

A totally implanted venous access system was placed in a 24-year-old male patient with Hodgkins disease for chemotherapy. Twelve months after implantation it was noted on chest x-ray that the catheter had fractured and the distal fragment embolized to the right ventricle. Catheter separation and embolization is a recognized but uncommon complication of Hickman catheters. It is an even rarer complication of implanted central venous catheters. With the increasing use of these new venous access systems this complication may become a more prevalent, but an avoidable complication. (Journal of Parenteral and Enteral Nutrition 12:528-530, 1988)

Journal of Parenteral and Enteral Nutrition, Vol. 12, No. 5, 528-530 (1988)
DOI: 10.1177/0148607188012005528
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