PMC9083582_01
(A) and (B) Chest X-ray showing migration of the chemotherapy totally implantable venous access catheter to the hepatic vein. Explanatory Note: Arrows indicate that totally implantable venous catheter for chemotherapy migrated to hepatic vein.
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The chemotherapy procedure was aborted and chest X-rays (Figures 1A and 1B) showed embolization of the catheter in the region of the hepatic vein.
Illustration of the snare technique employed to retrieve the chemotherapy totally implantable venous access catheter migrated to the hepatic vein (using access via the left femoral vein). (A) Capturing the catheter; (B) Catheter removed.
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At this point, the intravenous foreign body (TIVAP) was captured with the snare (Figure 2A) and withdrawn via the introducer (Figure 2B).
Chest X-ray taken after the procedure to remove the chemotherapy totally implantable venous access catheter that had migrated to the hepatic vein, showing the new port-a-cath fitted without complications. Explanatory Note: Arrows indicate that the new venous access port was implanted without complications; The posteroanterior (PA) chest view refers to the X-ray beams passing through the patient from posterior to anterior, with better evaluation of the structures closer to the ventral region.
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The following month, she underwent placement of a new port-a-cath to proceed with neoadjuvant chemotherapy (Figure 3).