Harish K, Madhu Y C
Department of Surgical Oncology, M S Ramaiah Curie Centre of Oncology, M S Ramaiah Medical College, Bangalore, Karnataka, India.
Int J Angiol. 2012 Jun;21(2):103-6. doi: 10.1055/s-0032-1315628.
Totally implantable ports are safe and effective means of venous access for administration of chemotherapy. One of the usual vessels accessed, through which the port is placed, is the subclavian. Herein, we report a case where the central access was obtained through the left subclavian vein. But the catheter when it was placed was found to be in the azygos vein. This was confirmed with dye study. This is the first report of such an occurrence with subclavian access. The catheter was later withdrawn and repositioned in the superior vena cava. We recommend that the entire procedure of catheter placement must be done under fluoroscopy guidance to ensure safe and error-free positioning.
完全植入式端口是用于化疗给药的安全有效的静脉通路手段。放置端口所常用接入的血管之一是锁骨下静脉。在此,我们报告一例通过左锁骨下静脉获得中心静脉通路的病例。但放置时发现导管位于奇静脉。这通过染料研究得到了证实。这是锁骨下静脉通路出现这种情况的首例报告。该导管随后被拔出并重新放置在上腔静脉。我们建议导管放置的整个过程必须在荧光透视引导下进行,以确保安全且无误地定位。