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[Percutaneous catheter extraction of a ruptured Port-A-Cath in a small child]
Klinische Padiatrie
|July 1, 1987
Insights
A child
Area of Science:
- Pediatric Gastroenterology
- Interventional Cardiology
- Medical Device Technology
Background:
- Protein-losing enteropathy necessitates long-term venous access for albumin infusions.
- A "Port-A-Cath" completely implanted venous access device was utilized in a pediatric patient.
Observation:
- The venous access catheter, functioning for 12 months, unexpectedly ruptured.
- A fragment of the "Port-A-Cath" migrated to the patient's right ventricle.
Findings:
- Percutaneous transfemoral angiographic extraction successfully removed the catheter fragment.
- This minimally invasive technique resolved the complication without further intervention.
Implications:
- Highlights the potential for late-stage complications with implanted venous access devices.
- Demonstrates the efficacy of percutaneous extraction for managing intracardiac foreign bodies.
- Emphasizes the importance of vigilant monitoring for device-related issues in pediatric patients.
Abstract:
A male child with protein-losing enteropathy received the completely implanted venous access catheter "Port-A-Cath" (Pharmacia Co.) at the age of 13 months for the regular application of human albumine infusions. After 12 months of impeccable functioning the catheter ruptured. By means of a percutaneous transfemoral angiographic extraction the catheter fragment was removed from the right ventricle.