Management and prevention of complications of subcutaneous intravenous infusion port

The guide wire was advanced to the left subclavian vein under the guidance of surgical landmark. I: manubrium notch. II: coracoid process.

The subclavian venous catheter was inserted at the middle part of clavicle over the delto-pectoral groove. I: manubrium notch. II: coracoid process.

The pocket was created and the catheter was tunneled from the vein access site to the port and was trimmed to proper length. I: manubrium notch. II: coracoid process.

Proper position of the port-A catheter in order to prevent pinch-off syndrome.

Migration of the breakage catheter through the heart chamber to the right pulmonary artery which can’t be removed.

Breakage of the catheter between the clavicle and the second rib due to pinch-off syndrome. Migration of the breakage catheter to the right ventricle which was removed by the cardiologist.

The broken fragment of the catheter and the port.