Heiss P, Stroszczynski C, Gössmann H
Institut für Röntgendiagnostik, Universitätsklinikum Regensburg, Regensburg.
Radiologe. 2012 May;52(5):455-8. doi: 10.1007/s00117-012-2317-0.
We report on a young patient with cancer of unknown primary origin with occlusion of the superior vena cava due to mediastinal lymphadenopathy. In order to continue infusion of palliative chemotherapy a central venous port system was radiologically implanted via a right femoral vein access. The port reservoir was placed craniomedial to the right anterior superior iliac spine. This approach was considered convenient in respect to comfort in wearing trousers. In addition, at this site the port reservoir is easily accessible for medical staff. It was possible to draw blood via the port system and to infuse the chemotherapy without complications. The present case shows that in cases of occlusion of the superior vena cava radiological implantation of a central venous port system via a femoral vein access is a useful option.
我们报告了一名原发性不明癌症的年轻患者，因纵隔淋巴结肿大导致上腔静脉阻塞。为了继续进行姑息性化疗输注，通过右股静脉穿刺在放射线下植入了中心静脉导管系统。导管储液囊置于右髂前上棘颅内侧。考虑到穿着裤子时的舒适度，这种方法很方便。此外，在这个位置，医护人员很容易触及导管储液囊。通过导管系统抽血和输注化疗药物均未出现并发症。本病例表明，在上腔静脉阻塞的情况下，通过股静脉穿刺在放射线下植入中心静脉导管系统是一种有用的选择。
