Hickman Catheter Dislodgement Due to Pendulous Breasts

Dislodgement of Hickman, Broviac, and Mediport catheters is a rare but recognized complication. To date, no specific etiology for this has been cited. We present five cases of dislodgement due to positional changes in large-breasted women and one man with gynecomastia. Apparently, motion in the subc...

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Veröffentlicht in:	JPEN. Journal of parenteral and enteral nutrition 1987-09, Vol.11 (5), p.502-504
Hauptverfasser:	Moorman, Donald W., Horattas, Mark C., Wright, Dennis, Kaufman, Keith, Ruf, Walter
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Breast - anatomy & histology Catheterization, Central Venous Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition Female Gynecomastia - complications Humans Intensive care medicine Male Medical sciences Middle Aged
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Beschreibung
Zusammenfassung:	Dislodgement of Hickman, Broviac, and Mediport catheters is a rare but recognized complication. To date, no specific etiology for this has been cited. We present five cases of dislodgement due to positional changes in large-breasted women and one man with gynecomastia. Apparently, motion in the subcutaneous tissue secondary to gravitational forces on large breasts causes downward and outward traction on the subcutaneous portion of the catheter. Variations in placement technique to help avoid this complication are described. (Journal of Parenteral and Enteral Nutrition 11:502–504,1987)
ISSN:	0148-6071 1941-2444
DOI:	10.1177/0148607187011005502