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Pitfalls in Portacath location using the landmark technique: case report

Susannah M Wyles1 email, Garry Browne2 email and Gerald PH Gui1 email

1Academic Surgery (Breast Unit) and, Royal Marsden NHS Foundation Trust, London, UK

2Department of Anaesthetics, Royal Marsden NHS Foundation Trust, London, UK

author email corresponding author email

International Seminars in Surgical Oncology 2007, 4:13doi:10.1186/1477-7800-4-13

Published: 5 June 2007

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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