Abstract:
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.
Reference:Matta A, Chavernac P, Pouche M, Cantié P. Successful percutaneous transvenous approach for pinch-off syndrome: a case report. Eur Heart J Case Rep. 2023 Mar 1;7(3):ytad111. doi: 10.1093/ehjcr/ytad111. PMID: 36941966; PMCID: PMC10023872.