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[Pleural effusion complicating a totally implanted venous device].

A Blanc1, V Litique, E Weitzenblum

  • 1Service de Pneumologie, Hôpital de Hautepierre, Strasbourg, France.

Revue Des Maladies Respiratoires
|November 28, 2006
PubMed
Summary
This summary is machine-generated.

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Totally implanted venous devices (TIVDs) can lead to rare but serious pleural complications, even years after implantation. Prompt diagnosis is crucial for managing these late-onset issues.

Area of Science:

  • Medical Devices
  • Vascular Access
  • Pulmonology

Background:

  • Totally implanted venous devices (TIVDs) are crucial for long-term intravenous therapies, including antibiotics for cystic fibrosis and chemotherapy.
  • Their use facilitates repeated access for treatments, improving patient management.

Observation:

  • A 76-year-old woman with bronchiectasis developed a pleural effusion after receiving intravenous antibiotics via a TIVD.
  • The effusion occurred three years post-implantation, with initial symptoms including shoulder pain and difficulty obtaining blood reflux.

Findings:

  • Radiological and contrast studies confirmed intrapleural extravasation of the antibiotic infusion due to TIVD catheter malposition.
  • A significant pleural fluid collection (1400 ml) was aspirated.

Related Experiment Videos

Implications:

  • This case highlights the potential for late-onset pleural complications associated with TIVDs.
  • Clinicians should consider TIVD-related issues in patients presenting with unexplained pleural effusions, especially after prolonged use.