Diagnostic error in detection of fractured and migrated totally implantable venous access device fragments and experience with percutaneous retrieval : A report of 27 cases
PURPOSE: To assess diagnostic efficacy/error to identify broken or dislocated totally implantable venous access device (TIVAD) fragments on radiological studies and to analyze interventional outcome of percutaneous retrieval.
MATERIALS AND METHODS: Retrospective, single-center analysis of 27 patients, referred for percutaneous retrieval of embolized TIVAD fragments between 2000 and 2018. Demographic data, underlying disease, diagnostic studies, diagnostic error, interval between implantation and diagnosis of TIVAD-dysfunction, interval between diagnosis and retrieval, anatomical location of the embolized fragments, and technical aspects of retrieval procedure were identified from the patients' electronic medical records.
RESULTS: Overall, diagnostic error was found in six patients (22%) with an average delay of 53 days. Ten fractures were caused during surgical removal, eleven fractures by pinching between first rib and clavicle and six cases by spontaneous disconnection between reservoir and catheter. Success rate of retrieval was 96% and the complication rate 0%.
CONCLUSION: Fractured or retained TIVAD fragments were initially overlooked on radiological studies in more than 20% of patients. Percutaneous retrieval of broken and dislocated TIVAD fragments is very safe and highly successful.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:23 |
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| Enthalten in: |
The journal of vascular access - 23(2022), 2 vom: 28. März, Seite 198-205 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Matton, Tom [VerfasserIn] |
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| Links: |
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| Themen: |
Case Reports |
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| Anmerkungen: |
Date Completed 11.04.2022 Date Revised 19.04.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1177/1129729820983133 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM319443213 |
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| 100 | 1 | |a Matton, Tom |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Diagnostic error in detection of fractured and migrated totally implantable venous access device fragments and experience with percutaneous retrieval |b A report of 27 cases |
| 264 | 1 | |c 2022 | |
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| 500 | |a Date Completed 11.04.2022 | ||
| 500 | |a Date Revised 19.04.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a PURPOSE: To assess diagnostic efficacy/error to identify broken or dislocated totally implantable venous access device (TIVAD) fragments on radiological studies and to analyze interventional outcome of percutaneous retrieval | ||
| 520 | |a MATERIALS AND METHODS: Retrospective, single-center analysis of 27 patients, referred for percutaneous retrieval of embolized TIVAD fragments between 2000 and 2018. Demographic data, underlying disease, diagnostic studies, diagnostic error, interval between implantation and diagnosis of TIVAD-dysfunction, interval between diagnosis and retrieval, anatomical location of the embolized fragments, and technical aspects of retrieval procedure were identified from the patients' electronic medical records | ||
| 520 | |a RESULTS: Overall, diagnostic error was found in six patients (22%) with an average delay of 53 days. Ten fractures were caused during surgical removal, eleven fractures by pinching between first rib and clavicle and six cases by spontaneous disconnection between reservoir and catheter. Success rate of retrieval was 96% and the complication rate 0% | ||
| 520 | |a CONCLUSION: Fractured or retained TIVAD fragments were initially overlooked on radiological studies in more than 20% of patients. Percutaneous retrieval of broken and dislocated TIVAD fragments is very safe and highly successful | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Retrieval | |
| 650 | 4 | |a complication | |
| 650 | 4 | |a error | |
| 650 | 4 | |a interventional radiology | |
| 650 | 4 | |a oncology access | |
| 650 | 4 | |a outcome | |
| 650 | 4 | |a radiological diagnosis | |
| 650 | 4 | |a techniques and procedures | |
| 650 | 4 | |a totally implantable venous access device | |
| 700 | 1 | |a Coolen, Johan |e verfasserin |4 aut | |
| 700 | 1 | |a Vanhaecht, Kris |e verfasserin |4 aut | |
| 700 | 1 | |a Boecxstaens, Veerle |e verfasserin |4 aut | |
| 700 | 1 | |a Fourneau, Inge |e verfasserin |4 aut | |
| 700 | 1 | |a Maleux, Geert |e verfasserin |4 aut | |
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