Pitfalls in Portacath location using the landmark technique: case report |
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Authors: | Susannah M Wyles Garry Browne Gerald PH Gui |
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Affiliation: | 1.Academic Surgery (Breast Unit) and,Royal Marsden NHS Foundation Trust,London,UK;2.Department of Anaesthetics,Royal Marsden NHS Foundation Trust,London,UK |
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Abstract: | A 34 year old woman diagnosed with breast cancer and liver metastases underwent a left subclavian Portacath insertion. During the procedure, the clinical features and the findings of intra-operative investigations provided conflicting evidence of the catheter position. This report highlights the potential difficulties in establishing long-term central venous access, the limitations of common investigations and safety issues relating to the process of subclavian line insertion. |
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