Onkologie · 2012
Hoarseness: an unusual complication of port-A catheter perforation.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Wang Jen-Chun, Tsai Shih-Hung, Chan Cheng-Yi, Wan Hsiang-Lin
Аннотация
BACKGROUND: A port-A catheter implantation for cancer patients is popular as a route for chemotherapy. Potential complications exist, such as perforation during chemotherapeutic agent infusion, especially when the port-A tip is incorrectly positioned or when it is in long-term use.
CASE REPORT: We report on a patient who presented with hoarseness as a result of port-A catheter perforation-related mediastinitis subsequent to chemotherapeutic agent infusion through the catheter.
CONCLUSIONS: Hoarseness is a rare complication of port-A perforation and extravasation. To avoid perforation, the tip of the catheter should be located in a high-flow vessel, such as the distal superior vena cava rather than higher in the caval vein, to prevent a locally increased concentration of drugs. We also recommend that a venogram be arranged if extravasation is suspected.
CASE REPORT: We report on a patient who presented with hoarseness as a result of port-A catheter perforation-related mediastinitis subsequent to chemotherapeutic agent infusion through the catheter.
CONCLUSIONS: Hoarseness is a rare complication of port-A perforation and extravasation. To avoid perforation, the tip of the catheter should be located in a high-flow vessel, such as the distal superior vena cava rather than higher in the caval vein, to prevent a locally increased concentration of drugs. We also recommend that a venogram be arranged if extravasation is suspected.
Предметные рубрики MeSH
AdenocarcinomaAntineoplastic Combined Chemotherapy ProtocolsCatheters, IndwellingChemoradiotherapyCombined Modality TherapyDisease ProgressionDrug Administration ScheduleEquipment FailureExtravasation of Diagnostic and Therapeutic MaterialsFemaleHoarsenessHumansInfusions, IntravenousMediastinitisPhlebographySigmoid NeoplasmsSubclavian VeinTomography, X-Ray ComputedVocal Cord ParalysisYoung Adult