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永存左上腔静脉:端口导管假性移位的一个原因。

Persistent left superior vena cava: a reason for pseudodisplacement of a port catheter.

作者信息

Schiffmann L, Kruschewski M, Wacker F, Buhr H J

机构信息

Chirurgische Klinik I, Universitätsklinikum Benjamin Franklin, Hindenburgdamm 30, 12200 Berlin, Germany.

出版信息

Surg Radiol Anat. 2003 Apr;25(1):70-2. doi: 10.1007/s00276-002-0088-4. Epub 2003 Apr 3.

DOI:10.1007/s00276-002-0088-4
PMID:12677464
Abstract

Port catheters have been increasingly used in recent years. Using one case as an example, we demonstrate how an anatomic variation can easily become a pitfall when inserting a central venous catheter, port catheter, pacemaker or Swan-Ganz catheter. We report a case of persistent left superior vena cava, the most common variation in the thoracic venous system. Since these procedures are increasingly being performed, surgeons, anesthesiologists and radiologists should be aware of the possible anatomic variations.

摘要

近年来,端口导管的使用越来越多。以一个病例为例,我们展示了在插入中心静脉导管、端口导管、起搏器或 Swan-Ganz 导管时,解剖变异如何容易成为一个陷阱。我们报告一例持续性左上腔静脉病例,这是胸静脉系统中最常见的变异。由于这些操作越来越多地被执行,外科医生、麻醉医生和放射科医生应该意识到可能存在的解剖变异。

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1
Persistent left superior vena cava: a reason for pseudodisplacement of a port catheter.永存左上腔静脉:端口导管假性移位的一个原因。
Surg Radiol Anat. 2003 Apr;25(1):70-2. doi: 10.1007/s00276-002-0088-4. Epub 2003 Apr 3.
2
Persistent left superior vena cava and central venous catheter position: clinical impact illustrated by four cases.永存左上腔静脉与中心静脉导管位置:4例病例展示的临床影响
Surg Radiol Anat. 2003 Jul-Aug;25(3-4):315-21. doi: 10.1007/s00276-003-0138-6. Epub 2003 Jul 31.
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Persistent left superior vena cava leads to catheter malposition during PICC Port placement.永存左上腔静脉导致经外周静脉穿刺中心静脉置管(PICC)端口放置期间导管位置异常。
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[Differential diagnosis of left-sided thoracic venous catheters: case report of a persistent left superior vena cava].[左侧胸部静脉导管的鉴别诊断:永存左上腔静脉病例报告]
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Aberrant course of Swan-Ganz catheter revealing persistent left superior vena cava.Swan-Ganz导管走行异常提示永存左上腔静脉。
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引用本文的文献

1
Persistent left superior vena cava detected after central venous catheter insertion.中心静脉导管插入术后发现永存左上腔静脉。
Springerplus. 2014 Aug 15;3:437. doi: 10.1186/2193-1801-3-437. eCollection 2014.
2
Persistent left superior vena cava: review of the literature, clinical implications, and relevance of alterations in thoracic central venous anatomy as pertaining to the general principles of central venous access device placement and venography in cancer patients.永存左上腔静脉:文献回顾、临床意义以及胸内中心静脉解剖结构改变与癌症患者中心静脉置管和静脉造影术的一般原则的相关性。
World J Surg Oncol. 2011 Dec 28;9:173. doi: 10.1186/1477-7819-9-173.
3

本文引用的文献

1
Left superior vena cava persistence in patients undergoing pacemaker or cardioverter-defibrillator implantation: a 10-year experience.接受起搏器或心脏复律除颤器植入患者的左上腔静脉永存:10年经验
Chest. 2001 Jul;120(1):139-44. doi: 10.1378/chest.120.1.139.
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尽管存在闭塞性心最小静脉瓣,经皮心脏再同步治疗仍取得成功。
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Totally implanted system for intravenous chemotherapy in patients with cancer.用于癌症患者静脉化疗的完全植入式系统。
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Improved methods for venous access: the Port-A-Cath, a totally implanted catheter system.改进的静脉通路方法:植入式静脉输液港,一种完全植入式导管系统。
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