Catheter dislodged from implantable port
A central venous access device (CVAD) was implanted in a child with hemophilia for long-term replacement therapy with factor VIII. Four years and eight months after its insertion, malfunction was observed. Further study revealed migration of the transected catheter to both the pulmonary arteries. The retrieved catheter displayed a tear and dislodgement at the anastomosis between the port and catheter. To the best of our knowledge, no case of extensive CVAD damage in children with hemophilia has been reported. Patients with CVAD malfunction are often asymptomatic; however, this condition could lead to a fatal outcome. Therefore, clinicians need to be aware of this complication.
Fujimori K, Nakadate H, Sakamoto A, Fujino A, Ono H, Nosaka S, Ishiguro A. . Rinsho Ketsueki. 2021;62(11):1628-1630. Japanese. doi: 10.11406/rinketsu.62.1628. PMID: 34866087.