Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
Journal of Parenteral and Enteral Nutrition
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Rubenstein, R. B.
Right arrow Articles by Rosenthal, D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Rubenstein, R. B.
Right arrow Articles by Rosenthal, D.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Case Reports

Hickman Catheter Separation

Richard B. Rubenstein, M.D.

Surgical Consultants, P.C., Sioux City, Iowa

Roger E. Alberty, M.D.

Surgical Consultants, P.C., Sioux City, Iowa

Lee G. Michels, M.D.

Surgical Consultants, P.C., Sioux City, Iowa

Robert W. Pederson, M.D.

Surgical Consultants, P.C., Sioux City, Iowa

David Rosenthal

Surgical Consultants, P.C., Sioux City, Iowa

Seven patients with Hickman/Broviac catheters implanted via the percutaneous subclavian route are reported to have had catheter separation and embolization; one catheter implanted via cephalic vein cutdown also separated. The method of percutaneous subclavian catheter insertion is briefly described, and the mechanism of catheter separation is discussed. Percutaneous insertion routes the silicone catheter between the clavicle and first rib, producing compressive/shearing force which can cause the catheter to break—usually after several months. Embolized catheter fragments can be retrieved with a percutaneous transfemoral venous snare. The described complication represents a 1% incidence. Recommendations to minimize this problem include: (1) placement of subclavian puncture at or lateral to midclavicular line; (2) chest x-rays at 2- to 3-month intervals to identify catheter indentation at the thoracic inlet; (3) early removal of catheters for patients with radiologic evidence of significant catheter compression. (Journal of Parenteral and Enteral Nutrition 9:754-757, 1985)

Journal of Parenteral and Enteral Nutrition, Vol. 9, No. 6, 754-757 (1985)
DOI: 10.1177/0148607185009006754
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 JPEN J Parenter Enteral NutrHome page
A. Surov, A. Wienke, J. M. Carter, D. Stoevesandt, C. Behrmann, R.-P. Spielmann, K. Werdan, and M. Buerke
Intravascular Embolization of Venous Catheter--Causes, Clinical Signs, and Management: A Systematic Review
JPEN J Parenter Enteral Nutr, November 1, 2009; 33(6): 677 - 685.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
J. C. de Graaff, L. J. Bras, and J. A. Vos
Early transection of a central venous catheter in a sedated ICU patient
Br. J. Anaesth., December 1, 2006; 97(6): 832 - 834.
[Abstract] [Full Text] [PDF]

Home page
 Eur Respir JHome page
A. Baydur, M. N. Koss, O. P. Sharma, G. E. Dalgleish, D. V. Nguyen, F. G. Mullick, L. A. Murakata, and J. A. Centeno
Microscopic pulmonary embolisation of an indwelling central venous catheter with granulomatous inflammatory response
Eur. Respir. J., August 1, 2005; 26(2): 351 - 353.
[Abstract] [Full Text] [PDF]

Home page
 ANGIOLOGYHome page
P. Vadlamani, B. Dawn, and M. C. Perry
Catheter Fracture and Embolization from Totally Implanted Venous Access Ports: Case Reports
Angiology, December 1, 1998; 49(12): 1013 - 1016.
[Abstract] [PDF]

Home page
 JPEN J Parenter Enteral NutrHome page
S. C. Loughran and M. Borzatta
Peripherally Inserted Central Catheters: A Report of 2506 Catheter Days
JPEN J Parenter Enteral Nutr, March 1, 1995; 19(2): 133 - 136.
[Abstract] [PDF]

Home page
 JPEN J Parenter Enteral NutrHome page
D. A. Andris, E. A. Krzywda, W. Scht-Lte, R. Ausman, and E. J. Quebbeman
Pinch-Off Syndrome: A Rare Etiology for Central Venous Catheter Occlusion
JPEN J Parenter Enteral Nutr, November 1, 1994; 18(6): 531 - 533.
[Abstract] [PDF]

Home page
 JPEN J Parenter Enteral NutrHome page
Y. Inoue, R. Nezu, S. Nakai, Y. Takagi, and A. Okada
Spontaneous Partial Fracture of the Catheter of a Totally Implantable Subcutaneous Infusion Port
JPEN J Parenter Enteral Nutr, January 1, 1992; 16(1): 75 - 77.
[Abstract] [PDF]

Home page
 ANGIOLOGYHome page
M. E. Carr JR
Catheter Embolization from Implanted Venous Access Devices: Case Reports
Angiology, April 1, 1989; 40(4): 319 - 323.
[Abstract] [PDF]

Home page
 JPEN J Parenter Enteral NutrHome page
W. Goolishian and S. Konefal
An Alternative Method of Securing Broviac Catheters in Children and Infants
JPEN J Parenter Enteral Nutr, March 1, 1989; 13(2): 218 - 219.
[Abstract] [PDF]

Home page
 JPEN J Parenter Enteral NutrHome page
T. Franey, L. C. Demarco, A. C. Geiss, and R. J. Ward
Catheter Fracture and Embolization in a Totally Implanted Venous Access Catheter
JPEN J Parenter Enteral Nutr, September 1, 1988; 12(5): 528 - 530.
[Abstract] [PDF]