<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0003-3170</journal-id>
<journal-title><![CDATA[Angiología]]></journal-title>
<abbrev-journal-title><![CDATA[Angiología]]></abbrev-journal-title>
<issn>0003-3170</issn>
<publisher>
<publisher-name><![CDATA[Arán Ediciones S.L.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0003-31702023000500009</article-id>
<article-id pub-id-type="doi">10.20960/angiologia.00536</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Derrame pleural unilateral tras migración espontánea de port a cath al hemitórax izquierdo]]></article-title>
<article-title xml:lang="en"><![CDATA[Unilateral pleural effusion after spontaneous migration of port a cath to the left hemithorax]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Rodríguez]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mancera-Steiner]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gallardo-Navarro]]></surname>
<given-names><![CDATA[Elías]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Español Departamento de Cirugía Oncológica ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2023</year>
</pub-date>
<volume>75</volume>
<numero>5</numero>
<fpage>335</fpage>
<lpage>338</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0003-31702023000500009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0003-31702023000500009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0003-31702023000500009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: la migración espontánea del catéter venoso central es una complicación rara de causa desconocida que ocurre entre el 0,9 y el 2 % de los pacientes. Su etiopatogenia no es muy clara, pero se asocia a eventos de arqueo y vómito intenso que pueden provocar una inversión temporal del flujo sanguíneo torácico.  Caso clínico: mujer que cursa con diagnóstico de cáncer de mama. Se coloca catéter (port a cath) para quimioterapia. Siete días después ingresa en urgencias por dolor en el hemitórax izquierdo. Se realiza tomografía computarizada del tórax y se encuentra una imagen sugestiva de migración de la punta del catéter, con manejo por toracoscopia.  Discusión: un acceso vascular central es importante para los pacientes que necesitan recibir tratamiento médico oncológico. Es un procedimiento frecuente que en la actualidad se relaciona con una mayor comodidad para el paciente, ya que, una vez que se inserta quirúrgicamente, puede usarse varias veces convenientemente. Sin embargo, no está exento de complicaciones. Estas pueden dividirse en tempranas y tardías. Las primeras pueden incluir punciones arteriales, malposiciones, neumotórax o hemotórax. La infección y la trombosis del catéter son las complicaciones tardías más frecuentes. En cambio, la migración espontánea de la punta del catéter se reporta como una complicación infrecuente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: spontaneous central venous catheter migration is a rare complication of unknown cause that occurs in about 0.9 to 2 % of patients. Its etiopathogenesis is not very clear, however, it is associated with retching events and intense vomiting that can cause a temporary inversion of thoracic blood flow.  Case report: women with a diagnosis of breast cancer, a catheter (port a cath) was placed for chemotherapy, 7 days later she was admitted to the emergency department due to pain in the left hemithorax, a chest computed tomography was performed, finding an image suggestive of migration of the breast. catheter tip, with management by thoracoscopy.  Discussion: a central vascular access is important for patients who need to receive medical oncological treatment, being a common procedure that is currently related to greater comfort for the patient, since, once it is surgically inserted, it can be conveniently used several times. However, it is not without complications. These can be divided into early and late. The former may include arterial punctures, malpositions, pneumothorax or hemothorax, and infection and catheter thrombosis are the most common late complications. On the other hand, spontaneous migration of the catheter tip is reported as a rare complication.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Migración de catéter]]></kwd>
<kwd lng="es"><![CDATA[Complicaciones tempranas]]></kwd>
<kwd lng="es"><![CDATA[Derrame torácico]]></kwd>
<kwd lng="en"><![CDATA[Catheter migration]]></kwd>
<kwd lng="en"><![CDATA[Early complications]]></kwd>
<kwd lng="en"><![CDATA[Chest effusion]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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