Entrapment of a Guidewire Caused by the Chiari Network During Implantation of a Central Venous Port: A Case Report
A central venous (CV) port is an important device for cancer treatment, as it enables safe venous access. We herein report the case of an 82-year-old man with recurrent gastric cancer who experienced J-tip spring guidewire entrapment caused by the Chiari network during CV port implantation. The guidewire was pulled away, with a piece of tissue at its tip. The tissue comprised cardiomyocytes, stratified collagenous fibers, and elastic fibers. The condition was diagnosed as a Chiari network. Based on our experience, operators should be aware of the risk of Chiari network involvement even with a normal transthoracic echocardiogram result.
Authors
- Chikashi Ishioka (ORCID: https://orcid.org/0000-0002-3023-1227)
- Hisato Kawakami (ORCID: https://orcid.org/0000-0002-3280-4850)
- Tomoyuki Iwasaki (ORCID: https://orcid.org/0000-0002-1000-2099)
- Rika Saito
- Masanobu Takahashi
- Shonosuke Wakayama
- Yoshifumi Kawamura (ORCID: https://orcid.org/0000-0002-9307-1742)
- Yuya Yoshida (ORCID: https://orcid.org/0000-0001-8560-9760)
- Kota Ouchi (ORCID: https://orcid.org/0000-0002-5572-1337)
- Hirofumi Watanabe (ORCID: https://orcid.org/0000-0002-0253-7122)
- Hiromitsu Tannai (ORCID: https://orcid.org/0000-0001-6869-2224)
- Shuto Kodera
Institutions
- Toho University (JP)
- Tohoku University (JP)
- Tohoku University Hospital (JP)
- Osaki Citizen Hospital (JP)
- Sendai Shakai Hoken Hospital (JP)
Publication Details
- Journal
- Internal Medicine
- Published
- 2025-01-01
- DOI
- https://doi.org/10.2169/internalmedicine.6256-25
- Primary Topic
- Central Venous Catheters and Hemodialysis
- Type
- article
- Field-Weighted Citation Impact
- 0.00