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Successful percutaneous transvenous approach for pinch-off syndrome: a case report
Anthony Matta1,2, Pascal Chavernac1, Marion Pouche1
1Department of Cardiology, Intercommunal Hospital Centre Castres-Mazamet, 6 Avenue de la montagne noire, 81000 Castres, France.
Background:
Pinch-off syndrome is a rare late complication characterized by the occurrence of spontaneous fracture and embolization of a port-a-cath implanted via subclavian venous access. It may lead to serious cardiovascular outcomes.
Case Presentation:
We report a successful percutaneous transvenous removal of intravascular fractured port catheter embolized into the right ventricle by using the 'lasso' technique in an 85-year-old man with type B non-Hodgkin lymphoma undergoing chemotherapy and long estimated life expectancy.
Discussion:
Knowledge of pinch-off syndrome among physicians is essential for early intervention, thereby preventing adverse events. Percutaneous approach seems an effective, safe, and simple procedure.
