INTRAVASCULAR DISRUPTION OF CENTRAL VENOUS PORTS

Intravasal catheter disruption is a rare complication of central venou s ports. Main causes are chronic trauma due to compression of the cath eter between clavicle and first rib, or primary damage by sharp instru ments during insertion. Utilizing the subclavian route, a more lateral insertion can minimize the risk of catheter compression. Regular post operative X-ray controls can help to recognize progressive catheter co mpression. In the case of significant compression, early replacement i s advisable to avoid disruption. Percutaneous transvenous snare techni que is the therapy of choice to retrieve dislocated fragments.