%0 Journal Article %T Fracture and atypical migration of an implantable central venous access device %A Mery, Mirela %A Palengat, Stéphanie %A Loffroy, Romaric %A Vernet, Magali %A Matet, Pascal %A Cherblanc, Violaine %J Quantitative Imaging in Medicine and Surgery %D 2016 %B 2016 %9 %! Fracture and atypical migration of an implantable central venous access device %K %X Distal embolization of a fractured indwelling central catheter is a rare complication. The pinch-off syndrome (POS) should be known, prevented and early detected. We present a case in which further radiological exams were required to find the fragmented catheter with an atypical migration, requiring local surgery for removing. After chest and abdominal CT scan, neck X-ray, and heart echography, the catheter was found on the lower limbs X-ray on the internal side of right knee corresponding to a location of saphenous vein. Implanted catheters should be removed after completion of treatment and the integrity of the system should be monitored. To avoid POS, a catheter must be inserted into the subclavian vein as laterally as possible. %U https://qims.amegroups.org/article/view/10723 %V 6 %N 3 %P 312-314 %@ 2223-4306