A Rare Case of Dislodged Chemoport Catheter Entrapment in the Pulmonary Artery
Sanjay Shrestha, Naveen Kumar Pandey, Lokesh Shekher Jaiswal, Achyut Gyawali, Brijesh Pandey, Rajan Thapa, Jeet Prasad Ghimire, Bhuwan Thapa, Pawan Chaurasia
TL;DR
A rare case of a chemotherapy catheter migrating to the pulmonary artery is reported and successfully treated.
Contribution
This paper presents a rare clinical case of chemoport catheter embolization and its successful percutaneous retrieval.
Findings
A chemoport catheter spontaneously dislodged and migrated to the pulmonary artery.
The entrapped catheter was successfully retrieved percutaneously by an interventional cardiologist.
The case highlights the importance of monitoring and managing rare complications of chemoport placement.
Abstract
Implantable subcutaneous chemoports are routinely employed for delivering chemotherapy in oncology. Spontaneous catheter dislodgement and embolization of the catheters are rare complications of the procedure. Herein, we report our experience with a patient presenting with spontaneous dislodgement and migration of the catheter to the pulmonary artery. The patient having familial adenomatous polyposis with adenocarcinoma of the right colon underwent total proctocolectomy and had placement of the chemoport through the internal jugular vein for adjuvant FOLFOX chemotherapy. The entrapped catheter was successfully managed by percutaneous retrieval by an interventional cardiologist.
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Taxonomy
TopicsCentral Venous Catheters and Hemodialysis · Vascular Malformations and Hemangiomas · Vascular anomalies and interventions