Department of Diagnostic Radiology, National Cheng-Kung University Hospital, Tainan, Taiwan.
Kaohsiung J Med Sci. 2011 Nov;27(11):514-9. doi: 10.1016/j.kjms.2011.06.015.
The purpose of this study was to report our experience of percutaneous retrieval of dislodged port catheters with concurrent use of pigtail and loop snare catheters. During a 5-year period at our institute (June 2005 to July 2010), a total of 23 dislodged port catheters were retrieved. The interval between port catheter implantation and dislodged catheter retrieval ranged from 43 days to 1,414 days (mean 586.7 days). The time of delayed retrieval ranged from 1 day to 45 days (mean 4.6 days). All dislodged catheters were retrieved with the concurrent use of pigtail and loop snare catheters via femoral venous route. The prevalence of port catheter dislodgement at our institute was 3.4%. All dislodged port catheters were removed successfully with pigtail and loop snare catheters together. No procedure-related complications were encountered, except for transient arrhythmia in two patients, which required no medication. In conclusion, the concurrent use of pigtail and loop snare catheters is a feasible and easy way for percutaneous retrieval of a dislodged central venous port catheter.
本研究旨在报告我们使用猪尾和套圈导管同时经皮取出移位中心静脉端口导管的经验。在我们医院的 5 年期间(2005 年 6 月至 2010 年 7 月),共取回 23 个移位端口导管。端口导管植入和导管移位之间的时间间隔为 43 天至 1414 天(平均 586.7 天)。延迟取回的时间间隔为 1 天至 45 天(平均 4.6 天)。所有移位的导管均通过股静脉途径使用猪尾和套圈导管同时取出。我们医院端口导管移位的发生率为 3.4%。所有移位的端口导管均成功地使用猪尾和套圈导管一起取出。除了两名患者出现短暂心律失常,需要药物治疗外,没有遇到任何与程序相关的并发症。总之,同时使用猪尾和套圈导管是经皮取出移位中心静脉端口导管的一种可行且简单的方法。