Thromboembolism related to a Port-a-Cath device in a patient with cystic fibrosis
Open Access
- 1 January 1997
- Vol. 52 (1) , 98-99
- https://doi.org/10.1136/thx.52.1.98
Abstract
The case is described of a potentially life threatening complication relating to the use of a totally implantable venous access device (Port-a-Cath) in a 28 year old patient with cystic fibrosis. The device was inserted in 1990 and used repeatedly for antibiotic therapy without any complications. In 1995, during assessment for double lung transplantation, a 3 cm thrombus was found at the tip of the catheter in the right atrium. Embolisation of the thrombus to the pulmonary arteries occurred after the infusion of recombinant tissue plasminogen activator (rt-PA). Thrombus formation may be associated with totally implantable venous access devices and thromboembolism may occur following the use of thrombolytic agents in the treatment of such thrombosis.Keywords
This publication has 20 references indexed in Scilit:
- Contemporary Pulmonary Embolism ThrombolysisChest, 1995
- Resolution of superior vena cava obstruction following thrombolytic therapy in a patient with cystic fibrosis and a long-term indwelling catheterRespiratory Medicine, 1994
- Postcontrast CT in the Diagnosis and Assessment of Response to Thrombolysis in Massive Pulmonary EmbolismJournal of Computer Assisted Tomography, 1994
- Atypical thrombotic and septic complications of totally implantable venous access devices in patients with cystic fibrosisPediatric Pulmonology, 1992
- Left thyrocervical trunk bronchial artery supplying right lung: source of recurrent hemoptysis in cystic fibrosis.American Journal of Roentgenology, 1992
- Totally implantable vascular access devices in cystic fibrosis: A four-year experience with fifty-eight patientsThe Journal of Pediatrics, 1990
- Bronchial Artery Embolization for Severe Hemoptysis in Cystic FibrosisChest, 1990
- Totally Implantable System for Venous Access in Children With Cystic FibrosisClinical Pediatrics, 1988
- TOTALLY IMPLANTABLE VASCULAR ACCESS IN TREATMENT OF CYSTIC FIBROSISThe Lancet, 1986
- Bronchial artery embolization in cystic fibrosis; technique and long-term resultsThe Journal of Pediatrics, 1979