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Caval perforation with bronchial communication: a rare complication of long-term venous access
Larry A Johnson1, Mir A Alikan, Paulette Mehta
1Associated Radiologists, Ltd., University of Arkansas for Medical Sciences, 4301 West Markham Street, Slot 556, Little Rock, AK 72205-7199, USA.
Abstract:
Superior vena cava (SVC) perforation with bronchial communication is a very rare complication of long-term venous access. A patient recently presented with erosion of a venous port catheter into a bronchus, with infusion of medications into the bronchus and associated SVC syndrome. A high position of the catheter tip against the wall of the SVC and the beveled style of cut on the catheter tip contributed to this complication. A unique combination of percutaneous techniques was helpful in managing this complication, and surgery was avoided.
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