AI Article Synopsis

  • Totally Implantable Venous Access Systems (TIVAS) are commonly used for treatments like chemotherapy, but they can lead to serious complications.
  • A case was reported involving a 64-year-old woman with recurrent osteosarcoma who experienced a fistula between the Innominate Vein and trachea due to the catheter tip migrating spontaneously.
  • This rare complication is significant because it can be life-threatening and highlights the need for awareness when TIVAS malfunction.

Article Abstract

Totally implantable venous access system (TIVAS) are widely used for various indications including chemotherapy infusion. The use of TIVAS is associated with number of complications that can occur as early as the time of insertion or can take place months later. We report a case of a 64 year old female with recurrent osteosarcoma of the mandible. She had a port-a-catheter placed for chemotherapy infusion. The patient developed fistula between the Innominate Vein and the trachea, which found to be secondary to a spontaneous migration of the tip of the catheter. To our knowledge this is the first case of this kind to be reported. This complication, although very rare, can be life threatening, and should be considered when there is a malfunction of the TIVAS.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5106542PMC
http://dx.doi.org/10.2484/rcr.v4i1.266DOI Listing

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