A rare intra-venous port catheter complication in childhood: Venobronchial fistula

Year 2021, Volume: 14 Issue: 3, 611 - 615, 15.12.2021

Caner İsbir , İsa Kıllı , Hakan Taşkınlar , Kaan Esen , Ali Naycı

https://doi.org/10.26559/mersinsbd.907815

Abstract

Port catheters, which are a closed system with subcutaneous reservoirs, placed in the main venous structures with a surgical intervention, are increasingly used in pediatric patients to meet the long-term intravenous treatment needs. Venobronchial fistula, which is rarely seen, developed with vascular erosion and caused by opening the vein where the catheter is located to the pleural or pericardial area, is among the late stage port catheter complications. In this study, we aimed to present a case with venobronchial fistula, which can lead to consequences such as hemoptysis, complicates the port catheter removal procedure, and is a life-threatening complication with these features.

Keywords

Vascular access devices, bronchial fistula, cough

Çocuk yaş grubunda nadir olarak görülen intravenöz port kateter komplikasyonu: Venobronşial fistül

Abstract

Cerrahi bir girişim ile ana venöz yapılara yerleştirilen, cilt altı rezervuarları ile kapalı bir sistem olan port kateterler çocuk hastalarda uzun süreli intravenöz tedavi ihtiyaçlarını karşılamak üzere giderek artan sıklıkta kullanılmaktadır. Nadir olarak görülen, vasküler erozyon ile gelişen, kateterin bulunduğu venin plevral veya perikardiyal alana açılması ile oluşan venobronşial fistüller, geç dönem port kateter komplikasyonları arasında yer almaktadır. Bu çalışmada, hemoptizi gibi sonuçlara yol açabilen, port kateter çekilmesi işlemini zorlaştıran, bu özellikleri ile hayati risk içeren bir komplikasyon olan venobronşial fistüllü bir olguyu sunmayı amaçladık.

Keywords

Vasküler erişim cihazları, bronşiyal fistül, öksürük

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