SciELO - Scientific Electronic Library Online

vol.113 número2Adenocarcinoma intramucoso en pólipo hiperplásico gástrico con resolución endoscópica índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO


Revista argentina de cirugía

versión impresa ISSN 2250-639Xversión On-line ISSN 2250-639X


NORESE, Mariano; ANDERSEN, Gustavo F.  y  SINAGRA, Diego L.. Totally implantable venous access device fracture due to pinch-off syndrome. Rev. argent. cir. [online]. 2021, vol.113, n.2, pp.258-262. ISSN 2250-639X.

Fracture and migration of totally implantable venous access devices is a rare but potentially serious complication. Pinch-off syndrome was described in subclavian venous accesses when the intermittent compression of the catheter between the first rib and the clavicle produces catheter fracture. The report the case of a patient with cancer who underwent implantation of a totally implantable venous access device through the subclavian vein under ultrasound and radioscopy guidance. After several cycles of chemotherapy, the patient started with malfunctioning of the device. The chest X-ray showed a complete fracture of the catheter at the level of the costoclavicular space with migration of a fragment of the catheter to the right cardiac chambers. The fractured catheter was percutaneously removed via the right femoral vein using nitinol gooseneck snare without complications. The incidence of the pinch-off syndrome, risk factors and prevention measures in totally implantable venous access devices are analyzed.

Palabras clave : Catheter fracture; Catheter embolization; Venous access device; Implantable venous access port; Syn drome pinch off.

        · resumen en Español     · texto en Español | Inglés