Identification and Removal of a Fractured Portacath

Area of Science:

• Interventional Radiology
• Vascular Surgery
• Oncology

Background:

• Portacath devices are crucial for long-term venous access in cancer patients.
• Catheter fractures are rare but potentially life-threatening complications.
• Early identification and management are essential to prevent severe outcomes.

Purpose of the Study:

• To report a case of a fractured portacath.
• To demonstrate the efficacy of interventional radiology in retrieving fractured fragments.
• To emphasize the importance of prompt diagnosis and treatment.

Main Methods:

• A patient with metastatic breast cancer presented with portacath malfunction.
• Imaging revealed an incomplete catheter fracture that progressed to complete fracture.
• A fractured fragment lodged in the superior vena cava was retrieved using a loop snare via femoral vein access under fluoroscopic guidance.

Main Results:

• The fractured portacath fragment was successfully retrieved without residual pieces.
• The patient experienced an uneventful recovery post-procedure.
• No immediate complications were noted after the retrieval.

Conclusions:

• Portacath fractures, though uncommon, necessitate vigilant monitoring due to associated severe risks.
• Interventional radiology offers a safe and precise approach for the retrieval of fractured portacath fragments.
• This case reinforces the value of advanced imaging and minimally invasive techniques in managing device-related complications.