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Indwelling Catheter Retraction Because of Pendulous Breast
Author(s) -
Inoue Yoshifumi,
Miyazaki Naoko,
Shimizu Yuka,
Soh Hideki,
Fujita Shigeo,
Takao Tetsuto
Publication year - 2000
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/0148607100024004251
Subject(s) - medicine , catheter , parenteral nutrition , complication , surgery , short bowel syndrome , port (circuit theory) , sternum , electrical engineering , engineering
Long‐term home parenteral nutrition (HPN) is an established treatment for chronic intestinal failure. A reliable and safe vascular access is of fundamental importance to HPN patients. We have typically used a right atrial catheter attached to a subcutaneous port. We present a case of right atrial catheter retraction in a large‐breasted woman with short bowel syndrome. The catheter was retracted and coiled around the reservoir in the subcutaneous pocket by motion of the patient with large breasts. Displacement of right atrial catheters is a rare but recognized complication. To avoid this complication in obese patients with large breasts, the positional changes of the breast should be determined, and the reservoir should be implanted in the area of least motion along the sternum. (Journal of Parenteral and Enteral Nutrition 24:251–253, 2000)