Medknow Publications on behalf of the Association of Radiation Oncologists of India (AROI)
Abstract
Placement of long term central venous access devices (CVAD) such as
chemo ports and Hickman′s catheters are associated with a
definite risk of catheter tip malpositioning. As such, malpositioning
runs a risk of venous thrombosis and related complications; it is
imperative to reposition the catheter. Percutaneous transfemoral venous
approach has been described as a minimally invasive and safe method for
the repositioning. We present two cases in which the CVAD implanted in
one subclavian vein got malpositioned in contra lateral subclavian
vein. A percutaneous transfemoral venous approach utilizing 5 Fr
angiographic catheter was successful in repositioning of the catheters
in both cases