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上腔静脉综合征:勿失阿丽亚娜之线。

Superior vena cava syndrome: do not miss the Ariadne's thread.

机构信息

Department of Radiology, Hôpital Ambroise PARE (APHP), Boulogne Billancourt, France.

出版信息

Diagn Interv Radiol. 2013 Jan-Feb;19(1):70-2. doi: 10.4261/1305-3825.DIR.5781-12.1. Epub 2012 Dec 13.

DOI:10.4261/1305-3825.DIR.5781-12.1
PMID:23255071
Abstract

A central venous catheter tip located too high into the superior vena cava (SVC) is known to be a strong risk factor for central venous thrombosis and subsequent SVC syndrome. We report herein the usefulness of catheterizing the implanted port catheter lumen as a salvage procedure to circumvent a complete SVC occlusion in a breast cancer patient. Because the standard central vein catheterization attempt is often unsuccessful, the port catheter should always be considered as the Ariadne's thread and used as an attempt for catheterization.

摘要

中心静脉导管尖端位于上腔静脉(SVC)过高的位置已知是导致中心静脉血栓形成和随后的 SVC 综合征的一个强烈危险因素。我们在此报告了在乳腺癌患者中,通过对植入式端口导管腔进行置管作为一种挽救性手术来规避 SVC 完全阻塞的有效性。由于标准的中心静脉置管尝试通常不成功,因此应始终将端口导管视为阿里阿德涅线,并将其用作置管尝试。

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