Imai Reiko, Ito Kazuki, Ishigami Naoyuki, Oba Noriyuki, Nakajima Nobuaki
Department of Radiology and Radiation Oncology, Gunma University School of Medicine, Maebashi, Japan.
Jpn J Clin Oncol. 2002 Feb;32(2):68-70. doi: 10.1093/jjco/hyf010.
We report a case of complication of a catheter port system. A 67-year-old male who had undergone left hemicolorectomy and partial hepatectomy for liver metastases from colon cancer underwent hepatic arterial infusion (HAI) of chemotherapy by a percutaneously implanted catheter port system to prevent recurrence. Eighteen months after the implantation of a port system he complained of intermittent claudication. Intravenous digital subtraction angiography (IV-DSA) showed occlusion of the left superficial femoral artery. The catheter was removed and a femoro-popliteal bypass with an artificial graft was constructed. Thrombus was found around the indwelling catheter at the insertion site. After the operation his complaint disappeared and has been alive without recurrence for 6 years.
我们报告一例导管植入系统并发症的病例。一名67岁男性因结肠癌肝转移接受了左半结肠切除术和部分肝切除术，为预防复发，通过经皮植入的导管植入系统进行肝动脉灌注化疗。植入端口系统18个月后，他出现间歇性跛行。静脉数字减影血管造影（IV-DSA）显示左股浅动脉闭塞。取出导管并用人造移植物进行了股腘动脉搭桥术。在插入部位的留置导管周围发现血栓。术后他的症状消失，已存活6年且无复发。
