Pinch-off syndrome ou syndrome de la Pince Costo-Claviculaire à propos de deux cas
Keywords:
Chambre à cathéter implantable, Pinch‐off syndrome, embolisation
Abstract
La chambre à cathéter implantable est un outil essentiel tout le long de la maladie cancéreuse.
Cependant, son utilisation expose à des complications qui peuvent être grave. La rupture du
cathéter de la chambre implantable retrouvée dans l’abord veineux sousclavier, secondaire le
plus souvent au syndrome de la pince costo-claviculaire ou pinch off qui se produit lorsque
le cathéter est comprimé entre la clavicule et la première côte. Nous rapportons deux cas de
pinch-off syndrome pour évaluer l’approche diagnostique et thérapeutique de cette
complication.
References
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A rare pinch-off case embolized to the
pulmonary artery. Turk Gogus Kalp Damar
Cerrahisi Derg. 2023 Jan 30;31(1):128-130. doi:
10.5606/tgkdc.dergisi.2023.20368. PMID:
36926152; PMCID: PMC10012974.
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Spontaneous fracture and migration of catheter
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internal jugular vein--a case report. J
Cardiothorac Surg. 2016 Apr 11;11:50. doi:
10.1186/s13019-016-0450-y. PMID: 27067705;
PMCID: PMC4827203
[3]. Chuah JS, Wong WL, Bakin S, Lim RZM,
Lee EP, Tan JH. Pinch-off syndrome from a
chemoport catheter successfully managed with
endovascular retrieval. Ann Med Surg (Lond).
2021 Apr 13;65:102294. doi:
10.1016/j.amsu.2021.102294. PMID:
33948169; PMCID: PMC8079954.
[4]. Morales-Victorino N, Damas de los Santos
F, Kuri-Ayache M, López-Aguilar C. Síndrome
de pinch off. Descripción de un caso y revisión
de la literatura [Pinch-off syndrome. Case report
and review of the literature]. Gac Med Mex.
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26290031.
[5]. Ouaknine-Orlando B, Desruennes E, Cosset
MF, De Baere T, Roche A. Le syndrome de la
pince costoclaviculaire: principale cause
d'embolie de cathéter [The pinch-off syndrome:
main cause of catheter embolism]. Ann Fr
Anesth Reanim. 1999 Nov;18(9):949-55.
French. doi: 10.1016/S0750-7658(00)87944-7.
PMID: 10615543.
[6]. Li H, Jen S, Keshavamurthy JH, Bowers
GH, Vo HA, Rotem E. Imaging evaluation of
catheter integrity prevent potentially fatal
complication of pinch-off syndrome: illustration
of two cases. Quant Imaging Med Surg. 2017
Jun;7(3):369-372. doi:
Avicenna Medical Research vol 03, issue 01 (2024):22-25
25
10.21037/qims.2017.05.01. PMID: 28812003;
PMCID: PMC5537135.
[7]. Clay TD. Pinch-off syndrome: a simple test
is the best. Intern Emerg Med. 2012 Sep;7 Suppl
2:S141-3. doi: 10.1007/s11739-012-0760-6.
Epub 2012 Feb 5. PMID: 22311515.
[8].Lakshmi HN, Sharma M, Jain A, Puj K,
Jayaprakash D, Pandya S. Chemoport Fracture
due to Catheter Pinch Off Syndrome: A Rare
Complication of Subclavian Vein Approach
Revisited. Indian J Surg Oncol. 2022
Jun;13(2):343-347. doi: 10.1007/s13193-021-
01459-6. Epub 2021 Oct 9. PMID: 35782799;
PMCID: PMC9240179
A rare pinch-off case embolized to the
pulmonary artery. Turk Gogus Kalp Damar
Cerrahisi Derg. 2023 Jan 30;31(1):128-130. doi:
10.5606/tgkdc.dergisi.2023.20368. PMID:
36926152; PMCID: PMC10012974.
[2]. Ko SY, Park SC, Hwang JK, Kim SD.
Spontaneous fracture and migration of catheter
of a totally implantable venous access port via
internal jugular vein--a case report. J
Cardiothorac Surg. 2016 Apr 11;11:50. doi:
10.1186/s13019-016-0450-y. PMID: 27067705;
PMCID: PMC4827203
[3]. Chuah JS, Wong WL, Bakin S, Lim RZM,
Lee EP, Tan JH. Pinch-off syndrome from a
chemoport catheter successfully managed with
endovascular retrieval. Ann Med Surg (Lond).
2021 Apr 13;65:102294. doi:
10.1016/j.amsu.2021.102294. PMID:
33948169; PMCID: PMC8079954.
[4]. Morales-Victorino N, Damas de los Santos
F, Kuri-Ayache M, López-Aguilar C. Síndrome
de pinch off. Descripción de un caso y revisión
de la literatura [Pinch-off syndrome. Case report
and review of the literature]. Gac Med Mex.
2015 Jul-Aug;151(4):529-32. Spanish. PMID:
26290031.
[5]. Ouaknine-Orlando B, Desruennes E, Cosset
MF, De Baere T, Roche A. Le syndrome de la
pince costoclaviculaire: principale cause
d'embolie de cathéter [The pinch-off syndrome:
main cause of catheter embolism]. Ann Fr
Anesth Reanim. 1999 Nov;18(9):949-55.
French. doi: 10.1016/S0750-7658(00)87944-7.
PMID: 10615543.
[6]. Li H, Jen S, Keshavamurthy JH, Bowers
GH, Vo HA, Rotem E. Imaging evaluation of
catheter integrity prevent potentially fatal
complication of pinch-off syndrome: illustration
of two cases. Quant Imaging Med Surg. 2017
Jun;7(3):369-372. doi:
Avicenna Medical Research vol 03, issue 01 (2024):22-25
25
10.21037/qims.2017.05.01. PMID: 28812003;
PMCID: PMC5537135.
[7]. Clay TD. Pinch-off syndrome: a simple test
is the best. Intern Emerg Med. 2012 Sep;7 Suppl
2:S141-3. doi: 10.1007/s11739-012-0760-6.
Epub 2012 Feb 5. PMID: 22311515.
[8].Lakshmi HN, Sharma M, Jain A, Puj K,
Jayaprakash D, Pandya S. Chemoport Fracture
due to Catheter Pinch Off Syndrome: A Rare
Complication of Subclavian Vein Approach
Revisited. Indian J Surg Oncol. 2022
Jun;13(2):343-347. doi: 10.1007/s13193-021-
01459-6. Epub 2021 Oct 9. PMID: 35782799;
PMCID: PMC9240179
