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[Pinch-off syndrom or costo clavicular forceps syndrom]
E A Allassane1, M El Hammoumi1, M Bhairis1
1Département de chirurgie thoracique, hôpital Militaire d'instruction Mohammed V, faculté de médecine et de pharmacie, université Mohamed V, 10100 Rabat, Maroc.
Revue De Pneumologie Clinique
|November 15, 2018
Summary
Pinch-off syndrome (POS) is a rare complication causing implantable catheter rupture in patients receiving long-term infusions. This study evaluates diagnostic and therapeutic strategies for managing POS in seven cases.
Area of Science:
- Medical Devices
- Vascular Surgery
- Oncology
Background:
- Implantable catheter systems are crucial for chemotherapy and long-term drug administration.
- Catheter rupture is a rare but serious complication, often linked to subclavian venous catheter placement.
- Pinch-off syndrome (POS) is a primary cause of catheter fracture due to mechanical compression.
Purpose of the Study:
- To evaluate the diagnostic and therapeutic approaches for managing Pinch-off syndrome (POS).
- To analyze seven cases of POS to understand its clinical presentation and management outcomes.
Main Methods:
- Retrospective review of seven patients diagnosed with POS.
- Analysis of diagnostic imaging and procedural interventions for catheter management.
- Evaluation of clinical outcomes following treatment.
Main Results:
- Seven cases of POS were identified in patients with long-term subclavian venous catheters.
- The study details the diagnostic methods used to confirm POS.
- Therapeutic interventions and their success rates are presented.
Conclusions:
- POS is a significant complication of subclavian venous catheters requiring specific diagnostic and management protocols.
- Prompt diagnosis and appropriate intervention are essential for successful patient outcomes.
- Further research into preventative measures for POS is warranted.
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