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CASE REPORT
Year : 2010  |  Volume : 6  |  Issue : 1  |  Page : 102-105

Percutaneous transfemoral repositioning of malpositioned central venous access device: A report of two cases


1 Department of Surgical Oncology, Army Hospital (R & R), Delhi, India
2 Department of Interventional Radiology, Army Hospital (R & R), Delhi, India

Correspondence Address:
Ashutosh Chauhan
Department of Surgical Oncology, Army Hospital (R &R), Delhi Cantt, Delhi-110 010
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-1482.63554

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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.


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