Spontaneous Catheter Separation from the Implanted Venous Port and Its Migration to the Venous Heart: Clinical Case

2018 ◽  
Vol 5 (2) ◽  
pp. 127-132 ◽  
Author(s):  
Lyudmila V. Olkhova ◽  
Vladimir E. Popov
Keyword(s):  
Clinical Case ◽  
Care Delivery ◽  
Venous Access ◽  
Cerebellar Hemisphere ◽  
Clinical State ◽  
Venous Port ◽  
Silicone Catheter ◽  
Oncological Diseases ◽  
Left Cerebellar Hemisphere ◽  
Port Systems

Background. Currently, vascular access is one of the most important aspects in specific and accompanying treatment of cancer patients regardless of their age and sex. Partially implanted venous catheters previously described by Hickman were widely applied all over the world. The introduction of completely implanted venous port-systems revolutionized health care delivery and improved the quality of life in patients with oncological diseases. A fully implanted venous port consists of a silicone catheter which distal tip is connected to a port tank implanted subcutaneously. Such a design allows providing safe and multiple adequate vascular accesses regardless of the patient’s clinical state.Case Report. We present a clinical case of a 10-year-old patient diagnosed with medulloblastoma of the cerebellopontine angle and the left cerebellar hemisphere. The case described spontaneous detachment of an implanted venous port catheter and its migration to the venous heart in a patient who underwent chemotherapy by venous access provided through implantation of the venous port.Conclusion. Our clinical case demonstrated a rare and potentially extremely dangerous noninfectious complication associated with the use of venous port-systems. Implanted systems require washing 1–2 times per month with heparinized solutions or solutions containing taurolidine when they are not used. Periodic chest radiographs can reveal integrity alterations of the system. Any implanted system should be removed when it is not used, or it should be monitored on a regular basis.

scholarly journals Use of totally implantable venous port systems in children hematology clinic

2020 ◽  
Vol 7 (2) ◽  
pp. 35-41
Author(s):  
A. V. Lyanguzov ◽  
S. L. Kalinina ◽  
O. Yu. Sergunina ◽  
S. V. Ignatyev ◽  
O. M. Tselousova ◽  
...  
Keyword(s):  
Perioperative Complications ◽  
Central Venous Access ◽  
Venous Access ◽  
Infectious Complications ◽  
Central Vein ◽  
Pediatric Hematology ◽  
Retrospective Assessment ◽  
Venous Port ◽  
Peripheral Venous Access ◽  
Port Systems

Relevance. Reliable and long-term venous access is one of the most important condition for a successful leukemia therapy in children. Safe and convenient access to a central vein allows to provide chemotherapy, adjuvant treatment, parenteral nutrition and blood transfusion. It decreases the likelihood of phlebitis development and reduction of the peripheral venous network in comparison with peripheral venous access. The use of totally implantable venous port systems reduces risks of severe complications associated with re-catheterization of the central vein thus it improves patient’s quality of life.The purpose of the study is a retrospective assessment of the experience of use and analysis of the complications of totally implantable venous port systems in children with diseases of the blood system.Materials and methods. The data of 61 patients of the pediatric hematology clinic with venous port systems have been analyzed.Results. Perioperative complications developed in 3 (4.9 %) patients Median time of using of port systems was 679 catheter-days. Delayed complications requiring removal of the device developed in 8 (13.1 %) patients. Infectious complications were the reason for device removal in 3 (2.9 %) patients, mechanical complications in 5 (8.2 %) patients. No thrombotic complications were found.Conclusions. The use of venous port systems in children with hematologic diseases for a long period of time is an effective and safe way for central venous access providing.

scholarly journals Use of catheter with 2-methacryloyloxyethyl phosphorylcholine polymer coating is associated with long-term availability of central venous port

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yuuki Iida ◽  
Kumiko Hongo ◽  
Takanobu Onoda ◽  
Yusuke Kita ◽  
Yukio Ishihara ◽  
...  
Keyword(s):  
Odds Ratio ◽  
Polymer Coating ◽  
Venous Access ◽  
Preventive Effect ◽  
Central Venous ◽  
Factors Associated ◽  
Central Venous Port ◽  
Venous Port ◽  
Venous Access Device

AbstractCentral venous port (CVP) is a widely used totally implantable venous access device. Recognition of risks associated with CVP-related complications is clinically important for safe, reliable, and long-term intravenous access. We therefore investigated factors associated with CVP infection and evulsion, including the device type. A total of 308 consecutive patients with initial CVP implantation between January 2011 and December 2017 were retrospectively reviewed, and the association of clinical features with CVP-related complications were analyzed. Intraoperative and postoperative complications occurred in 11 (3.6%) and 39 (12.7%) patients, respectively. The overall rate of CVP availability at six months was 91.4%. Malignancy and 2-Methacryloyloxyethyl phosphorylcholine (MPC) polymer-coated catheter use were negatively associated with the incidence of CVP infections. Accordingly, malignancy and MPC polymer-coated catheter use were independent predictors for lower CVP evulsion rate (odds ratio, 0.23 and 0.18, respectively). Furthermore, both factors were significantly associated with longer CVP availability (hazard ratio, 0.24 and 0.27, respectively). This retrospective study identified factors associated with CVP-related complications and long-term CVP availability. Notably, MPC polymer-coated catheter use was significantly associated with a lower rate of CVP infection and longer CVP availability, suggesting the preventive effect of MPC coating on CVP infection.

Utility of indocyanine green in the detection of radiologically silent hemangioblastomas: case report

2021 ◽  
pp. 1-7
Author(s):  
Alice Senta Ryba ◽  
Juan Sales-Llopis ◽  
Stefan Wolfsberger ◽  
Aki Laakso ◽  
Roy Thomas Daniel ◽  
...  
Keyword(s):  
Indocyanine Green ◽  
Histological Analysis ◽  
Complete Resection ◽  
Fluorescent Imaging ◽  
Cerebellar Hemisphere ◽  
Potential Applications ◽  
Left Cerebellar Hemisphere ◽  
Future Treatments ◽  
Cerebellar Mass ◽  
Suboccipital Approach

Hemangioblastomas (HBs) are rare, benign, hypervascularized tumors. Fluorescent imaging with indocyanine green (ICG) can visualize tumor angioarchitecture. The authors report a case of multiple HBs involving two radiologically silent lesions only detected intraoperatively by ICG fluorescence. A 26-year-old woman presented with a cystic cerebellar mass on the tentorial surface of the left cerebellar hemisphere on MRI. A left paramedian suboccipital approach was performed to remove the mural nodule with the aid of ICG injection. The first injection, applied just prior to removing the nodule, highlighted the tumor and vessels. After resection, two new lesions, invisible on the preoperative MRI, surprisingly enhanced on fluorescent imaging 35 minutes after the ICG bolus. Both silent lesions were removed. Histological analysis of all three lesions revealed they were positive for HB. The main goal of this report is to hypothesize possible explanations about the mechanism that led to the behavior of the two silent lesions. Intraoperative ICG videoangiography was useful to understand the 3D angioarchitecture and HB flow patterns to perform a safe and complete resection in this case. Understanding the HB ultrastructure and pathophysiological mechanisms, in conjunction with the properties of ICG, may expand potential applications for their diagnosis and future treatments.

scholarly journals To the Question of the Role of Radiation Methods in the Diagnosis of Locoregional Recurrence of Colon Cancer (Clinical Case)

2017 ◽  
pp. 120-125 ◽  
Author(s):  
N. V. Nudnov ◽  
U. Stanoevich ◽  
E. N. Grebenkin ◽  
E. V. Sidorova
Keyword(s):  
Colon Cancer ◽  
Locoregional Recurrence ◽  
Clinical Case ◽  
Clinical Observation ◽  
Lymphatic System ◽  
Tumor Bed ◽  
Oncological Diseases ◽  
Cecum Cancer

Coloncancer is one of the first places in the structure of oncological diseases. According to statistics, edited by A.D. Kaprin, V.V. Starinskii, G.V. Petrova ofRussiafor 2015 was initially 36494 case of colorectal cancer, while 2% of cases are not diagnosed. Recurrence of colon cancer can occur at any stage regardless of the time elapsed after the radical treatment. Locoregionally originally is the presence of a tumor in the area of primary operation, which is represented by the primary tumor bed, the anastomosis, mesentery of the colon with lymphatic system, peritoneum and adjacent organs. Often after a diagnosis of “recurrence of the tumor in the colon” to the patient it is possible to provide only palliative care (colostomy, chemotherapy). The article cited clinical observation, confirming the important role of radiation techniques in determination of tactics of treatment of locoregional recurrence of the cecum cancer. 

Dominant SCN2A Mutation Causes Familial Episodic Ataxia and Impairment of Speech Development

2018 ◽  
Vol 49 (06) ◽  
pp. 379-384 ◽  
Author(s):  
Kerstin Becker ◽  
Peter Herkenrath ◽  
Christoph Düchting ◽  
Friederike Körber ◽  
Pablo Landgraf ◽  
...  
Keyword(s):  
Autosomal Dominant ◽  
Index Patient ◽  
Speech Development ◽  
Episodic Ataxia ◽  
Cerebellar Hemisphere ◽  
First Episode ◽  
Whole Exome ◽  
Neurologic Disorders ◽  
Left Cerebellar Hemisphere ◽  
Impaired Speech

AbstractMutations in SCN2A are associated with a heterogeneous clinical spectrum including epilepsy and autism. Here, we have identified a peculiar phenotype associated with vaccination related exacerbations of ataxia. We report the first family with three individuals affected by SCN2A-associated episodic ataxia (EA) with impaired speech development. The index patient manifested his first episode of subacute cerebellar ataxia at the age of 12 months, 3 weeks after vaccinations for measles, mumps, rubella, and varicella. Cranial magnetic resonance imaging showed a lesion of the left cerebellar hemisphere, which was first considered as a potential cause of the ataxia. The patient fully recovered within 3 weeks, but developed three very similar episodes of transient ataxia within the following 24 months. Whole exome sequencing of the index patient revealed a heterozygous autosomal-dominant mutation in SCN2A (NM_021007, c.4949T > C; p.L1650P), which was confirmed in the likewise affected mother, and was then also identified in the younger brother who developed the first episode of ataxia. We hereby extend the recently described spectrum of SCN2A-associated neurologic disorders, emphasizing that SCN2A mutations should also be considered in familial cases of EA. Coincidental imaging findings or other associated events such as immunizations should not protract genetic investigations.

scholarly journals Trismus as a Presenting Symptom in a Case of Progressive Encephalopathy with Rigidity and Myoclonus

2019 ◽  
Vol 11 (1) ◽  
pp. 132-136
Author(s):  
Lies Blomme ◽  
Kirsten Van de Velde
Keyword(s):  
Clinical Case ◽  
Clinical State ◽  
Ovarian Teratoma ◽  
Disease Course ◽  
Lower Abdomen ◽  
First Case ◽  
Progressive Encephalopathy ◽  
Paraneoplastic Disease ◽  
Similar Disease ◽  
Neurological Conditions

In this report we present a clinical case of trismus. The patient in question showed symptoms of trismus for 3 days, rapidly leading to respiratory insufficiency. Afterwards she developed myoclonus and progressive encephalopathy. Neurological workup showed no relevant abnormalities. A CT of the abdomen revealed a mass in the lower abdomen, which turned out to be an ovarian teratoma. Progressive encephalopathy with rigidity and myoclonus (PERM) was diagnosed clinically. Treatment with corticosteroids, benzodiazepines, and levetiracetam did not ameliorate the patient’s condition. Only after the introduction of plasmapheresis was there a spectacular improvement in her clinical state. In this case we could not detect associated antibodies. The most likely cause of PERM is paraneoplastic disease secondary to ovarian teratoma. This type of tumor has been associated with multiple paraneoplastic neurological conditions, but this is the first case associated with PERM. To date there is only one publication on trismus as a sole presenting sign, with a quite similar disease course.

Evaluation of Radiologically Implanted Central Venous Port Systems Explanted Due to Complications

2011 ◽  
Vol 12 (4) ◽  
pp. 306-312 ◽  
Author(s):  
Ulf K.M. Teichgräber ◽  
Stephan Kausche ◽  
Sebastian N. Nagel
Keyword(s):  
Central Venous ◽  
Central Venous Port ◽  
Venous Port ◽  
Port Systems
Sign in / Sign up

Export Citation Format

Share Document