Pinch Off effect: A lethal Unusual complication of Subclavian Hemodialysis Catheter in a Child
DOI :
https://doi.org/10.53778/pjkd93309Mots-clés :
Pinch-off syndrome, Pediatric hemodialysis, Subclavian catheter, Supraclavicular approach, Long-term venous accessRésumé
Pinch-off effect is reported as potential complications of subclavian venous access in 14 years old male child with hemodialysis catheter. Patient presented with features of luminal obstruction 8 months after insertion of hemodialysis catheter. X ray chest confirmed diagnosis of Pinch off syndrome. Replacement of Hemodialysis catheter through supraclavicular subclavian approach resulted in achieving safe and functional venous access for last 12 months.
Références
Kaur A, Davenport A. Hemodialysis for infants, children, and adolescents. Hemodialysis International, 2014:18(3):573-582
Aitken DR, Minton JP. The "pinch-off sign": a warning of impending problems with permanent subclavian catheters. Am J Surg. 1984;148(5):633–636.
Andris DA, Krzywda EA, Schulte WJ, Ausman RK, Quebbeman EJ. Pinch-off syndrome: a complication of implantable subclavian venous access devices. Radiology. 1990;177(2):353–356.
Hinke DH, Zandt-Stastny DA, Goodman LR, Quebbeman EJ, Krzywda EA, Andris DA. Pinch-off syndrome: a complication of implantable subclavian venous access devices. Radiology. 1990;177(2):353–356.
Surov A, Wienke A, Carter JM, et al. Intravascular embolization of venous catheter—causes, clinical signs, and management: a systematic review. Chest. 2009;136(3):888–896.
Reed WP, Giacoia GP. Embolization of a broken central venous catheter in a neonate. Am J Dis Child. 1983;137(3):276–277.
Yoffa D. Supraclavicular subclavian venepuncture and catheterization. Lancet. 1965;2(7410):614–617.
Jablonowski K, Krajewska M, Koziarska D, Letachowicz K, Augustyniak-Bartosik H. Supraclavicular approach to subclavian vein cannulation in children: a forgotten technique? Pediatr Nephrol. 2020;35(5):829–835.
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Merci de créditer les auteurs lors de toute citation : Mohammed AlbLooshi, Dalia Abdulrahman , vipul gupta (2025)

Ce travail est disponible sous licence Creative Commons Attribution - Pas d’Utilisation Commerciale 4.0 International.
