Successful percutaneous transvenous approach for pinch-off syndrome: A case report

Abstract

Pinch-off syndrome is a rare late complication characterized by the occurrence of spontaneous fracture and embolization of a port-A-cath implanted via subclavian venous access. It may lead to serious cardiovascular outcomes. Case presentation We report a successful percutaneous transvenous removal of intravascular fractured port catheter embolized into the right ventricle by using the lasso' technique in an 85-year-old man with type B non-Hodgkin lymphoma undergoing chemotherapy and long estimated life expectancy. Discussion Knowledge of pinch-off syndrome among physicians is essential for early intervention, thereby preventing adverse events. Percutaneous approach seems an effective, safe, and simple procedure.