Mortensen A, Afshari A, Henneberg S W, Hansen M A
Department of Pediatric Anesthesia, Copenhagen University Hospital Rigshospitalet, DK-2100 Copenhagen, Denmark.
Acta Anaesthesiol Scand. 2010 Jul;54(6):777-80. doi: 10.1111/j.1399-6576.2010.02240.x. Epub 2010 Apr 23.
We present three cases of fixated vascular injection ports. Two patients had cystic fibrosis and one had an immunological defect. All catheters were made from polyurethane and implanted in adolescent patients. Indwelling time were 6-8 years. One patient's catheter was entirely integrated in the vessel wall and impossible to remove. In the other two cases, catheters were removed with great difficulty by the interventional radiologists. These cases raise important questions concerning the maximum indwelling time and the choice of catheter material when implanting permanent central venous catheters (CVCs) in adolescents. Furthermore, it highlights the importance of not breaking a CVC in the attempt to remove it.
我们报告了三例固定的血管注射端口病例。两名患者患有囊性纤维化，一名患者有免疫缺陷。所有导管均由聚氨酯制成，植入青少年患者体内。留置时间为6至8年。一名患者的导管完全融入血管壁，无法取出。在另外两例中，介入放射科医生艰难地取出了导管。这些病例引发了关于在青少年中植入永久性中心静脉导管（CVC）时的最大留置时间和导管材料选择的重要问题。此外，它还强调了在试图取出CVC时不要弄断它的重要性。
