medigraphic.com
SPANISH

Gaceta Médica de México

ISSN 0016-3813 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2015, Number 4

<< Back Next >>

Gac Med Mex 2015; 151 (4)

pinch off syndrome. Case report and review of the literature

Morales-Victorino N, Damas SF, Kuri-Ayache M, López-Aguilar C
Full text How to cite this article

Language: Spanish
References: 12
Page: 529-532
PDF size: 232.06 Kb.


Key words:

Intravenous access device, Catheter embolization, pinch off, Snare catheter.

ABSTRACT

Central venous catheterization is a common procedure in the emergency and intensive-care units. Rupture of the central catheter has been described as a rare complication in patients with permanent subclavian catheters. We report the case of a patient with rupture and central catheter and embolization secondary to intermittent mechanical compression by the subclavian and the first rib ( pinch off syndrome) and its resolution through a percutaneous device.


REFERENCES

  1. McGee DC, Gould MK. Preventing complications of central venous catheterization. New Engl J Med. 2003;348:1123-33.

  2. Polderman KH, Girbes ARJ. Central venous catheter use. Part 2: infectious complications. Intensive Care Med. 2002;28:18-28.

  3. Nostdahl T, Waagsbo NA. Costoclavicular pinching: a complication of long-term central venous catheters. Acta Anaesthesiol Scand. 2004;42:872-5.

  4. Mirza B, Vanek VW, Kupensky DT. Pinch-off syndrome: case report and collective review of the literature. Am Surg. 2004;70:635-44.

  5. Aitken DR, Minton JP. The ‘pinch-off sign’: a warning of impending problems with permanent subclavian catheters. Am J Surg. 1984;148: 633-6.

  6. Hinke DH, Zandt-Stastny DA, Goodman LR, et al. Pinch-off syndrome: a complication of implantable subclavian venous access devices. Radiology. 1990;177:353-6.

  7. Andris DA, Krzywda EA, Schulte W, et al. Pinch-off syndrome: a rare etiology for central venous catheter occlusion. J Parenter Enteral Nutr 1994;18:531-3.

  8. Koller M, Papa MZ, Zwieg A, et al.. Spontaneous leak and transection of permanent subclavian catheters. J Surg Oncol. 1998;68:166-8.

  9. Surov A, Wienke A, Carter JM, et al. Intravascular embolization of venous catheter –causes, clinical signs, and management: a systematic review. JPEN J Parenter Enteral Nutr. 2009;33:677-85.

  10. Mirza B, Vanek VW, Kupensky DT. Pinch-off syndrome: case report and collective review of the literature. Am Surg. 2004;70:635-8.

  11. Fragou M, Gravvanis A, Dimitriou V, et al. Real-time ultrasound-guided subclavian vein cannulation versus the landmark method in critical care patients: a prospective randomised study. Crit Care Med. 2011;39:1607-12.

  12. Thomas J, Sinclair-Smith B, Bloomfield D, et al. Nonsurgical retrieval of a broken segment of steel spring guide from right atrium and inferior vena cava. Circulation. 1964;30:106-8.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Gac Med Mex. 2015;151