经右颈内静脉置入的完全植入式导管发生骨折并移入冠状窦。
Fracture and migration into the coronary sinus of a totally implantable catheter introduced via the right internal jugular vein.
作者信息
Pignataro Bruno Soriano, Nishinari Kenji, Wolosker Nelson, Bomfim Guilherme Andre Zoteli
机构信息
AC Camargo Cancer Center, São Paulo, Brazil.
出版信息
BMJ Case Rep. 2014 Dec 1;2014:bcr2014207276. doi: 10.1136/bcr-2014-207276.
Abstract
There has been an increase in the use of totally implantable devices. Catheter fractures are rare but known complications. This case report presents a rare migration site of the catheter fragment into the coronary sinus. The totally implantable catheter was introduced into the right internal jugular vein to deliver chemotherapy. Although it was an unusual site, the catheter fragment was removed without complications using loop-snare technique.
摘要
完全植入式设备的使用有所增加。导管断裂虽罕见但为已知并发症。本病例报告呈现了导管碎片迁移至冠状窦这一罕见部位的情况。将完全植入式导管经右颈内静脉置入以进行化疗。尽管该部位不常见，但采用圈套技术顺利取出导管碎片，未出现并发症。
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本文引用的文献
1
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Surg Today. 2014 Jul;44(7):1346-9. doi: 10.1007/s00595-013-0631-4. Epub 2013 Jun 4.
2
Catheter migration after fracture is not always in right cavities.骨折后导管移位并不总是进入正确的腔隙。
Cardiovasc Interv Ther. 2013 Jan;28(1):119-22. doi: 10.1007/s12928-012-0127-y. Epub 2012 Oct 13.
3
Life-threatening coronary sinus thrombosis following catheter ablation: case report and review of literature.导管消融术后危及生命的冠状窦血栓形成：病例报告及文献复习
Cardiovasc Revasc Med. 2010 Oct-Dec;11(4):262.e1-5. doi: 10.1016/j.carrev.2010.01.003.
4
Randomised comparison of complications from three different permanent central venous access systems.三种不同永久性中心静脉通路系统并发症的随机对照比较。
Swiss Med Wkly. 2009 May 30;139(21-22):313-6. doi: 10.4414/smw.2009.12523.
5
Catheter fracture and migration into the coronary sinus--an unusual migration site: case report and review.导管断裂并移入冠状窦——一个不寻常的移行部位：病例报告及文献复习
Clin Imaging. 2009 Mar-Apr;33(2):140-3. doi: 10.1016/j.clinimag.2008.10.001.
6
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Eur J Radiol. 2009 Feb;69(2):346-50. doi: 10.1016/j.ejrad.2007.09.034. Epub 2007 Oct 31.
7
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9
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