{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:24Z","timestamp":1753877184701,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2021,1,2]],"date-time":"2021-01-02T00:00:00Z","timestamp":1609545600000},"content-version":"vor","delay-in-days":32,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Totally implantable venous access devices (TIVADs) are frequently used for the administration of chemotherapy or parenteral nutrition and have proved to be safe and improve patient quality of life during treatment. Catheter-related infections are the most common complication, whereas catheter fracture and embolization is rarely seen. We present a case of a 61-year-old cancer patient in which the TIVAD fractured and embolized to the patient\u2019s left knee 18\u00a0months after its initial placement. An endovascular procedure with intraoperative imaging revealed that the catheter had embolized to the popliteal artery and was successfully removed, the only explanation being the presence of an atrial septal defect. A bubble echocardiogram was unsuccessful in confirming the diagnosis. The catheter fracture could be related to an intravascular procedure that was performed 18\u00a0months prior to remove fibrin sheaths as a cause of port malfunction, or it could be a case of pinch-off syndrome.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa548","type":"journal-article","created":{"date-parts":[[2020,11,26]],"date-time":"2020-11-26T20:10:09Z","timestamp":1606421409000},"source":"Crossref","is-referenced-by-count":0,"title":["Fracture and embolization of an implantable venous access device in patient with atrial septal defect"],"prefix":"10.1093","volume":"2020","author":[{"given":"Julie","family":"Syltern","sequence":"first","affiliation":[{"name":"Department of Surgery, Helgeland Hospital Trust, Sandnessj\u00f8en NO-8800, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geir","family":"J\u00f8rgensen","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Nordland Hospital, Bod\u00f8 NO-8005, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jarle","family":"Norstein","sequence":"additional","affiliation":[{"name":"Department of Surgery, Helgeland Hospital Trust, Sandnessj\u00f8en NO-8800, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Knut Magne","family":"Augestad","sequence":"additional","affiliation":[{"name":"Department of Surgery, Helgeland Hospital Trust, Sandnessj\u00f8en NO-8800, Norway"},{"name":"Department of Quality and Research, University Hospital of North Norway, Troms\u00f8 NO-9019, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,12,31]]},"reference":[{"key":"2021010208400082900_ref1","doi-asserted-by":"crossref","first-page":"2049","DOI":"10.1007\/s00520-017-3592-0","article-title":"Long-term outcomes of totally implantable venous access devices","volume":"25","author":"Wang","year":"2017","journal-title":"Support Care 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review","volume":"136","author":"Ullman","year":"2015","journal-title":"Pediatrics."},{"key":"2021010208400082900_ref5","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1177\/0148607109335121","article-title":"Intravascular embolization of venous catheter--causes, clinical signs, and management: a systematic review","volume":"33","author":"Surov","year":"2009","journal-title":"JPEN J Parenter Enteral Nutr."},{"key":"2021010208400082900_ref6","doi-asserted-by":"crossref","first-page":"333","DOI":"10.5090\/kjtcs.2018.51.5.333","article-title":"Pinch-off syndrome, a rare complication of totally implantable venous access device implantation: a case series and literature review","volume":"51","author":"Ilhan","year":"2018","journal-title":"Korean J Thorac Cardiovasc Surg."},{"key":"2021010208400082900_ref7","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1007\/BF00364987","article-title":"A rare complication of implanted central-venous access devices: catheter fracture and embolization","volume":"3","author":"Debets","year":"1995","journal-title":"Support Care Cancer."},{"key":"2021010208400082900_ref8","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1097\/COC.0000000000000361","article-title":"Totally implantable venous access devices: a review of complications and management strategies","volume":"40","author":"Tabatabaie","year":"2017","journal-title":"Am J Clin Oncol."},{"key":"2021010208400082900_ref9","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.ejso.2009.07.011","article-title":"The mechanisms of failure of totally implantable central venous access system: analysis of 73 cases with fracture of catheter","volume":"36","author":"Lin","year":"2010","journal-title":"Eur J Surg Oncol."}],"container-title":["Journal of Surgical Case 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