Kawashima Kazuya, Kato Kenichi, Suzuki Michiko, Nakayama Manabu, Tamura Akio, Suzuki Tomohiro, Tanaka Ryouichi, Tomabechi Makiko, Matsuo Mikaru, Nakasato Tatsuhiko, Ehara Shigeru
Dept. of Radiology, Iwate Medical University.
Gan To Kagaku Ryoho. 2015 Sep;42(9):1127-30.
The use ofa central venous(CV)port system has become common for the treatment of patients with tumors. We report on the failure to remove CV catheters in 2 patients. The first patient was a 50 years woman with acute myeloid leukemia. She underwent CV port implantation via the left brachial approach 11 years previously. The second patient was an 80 years man with a lower gingival carcinoma. He underwent CV port implantation via the left brachial approach 6 years previously. CV catheter removal was attempted in both patients, but was unsuccessful because of strong adhesion to the vessel wall. Based on our experience, if catheter removal is impossible, its retention is more suitable.
中心静脉(CV)端口系统已普遍用于肿瘤患者的治疗。我们报告了2例未能拔除CV导管的病例。首例患者为一名50岁女性,患有急性髓系白血病。11年前她经左肱动脉途径植入了CV端口。第二例患者是一名80岁男性,患有下牙龈癌。6年前他经左肱动脉途径植入了CV端口。两名患者均尝试拔除CV导管,但由于与血管壁强烈粘连而未成功。根据我们的经验,如果无法拔除导管,保留导管更为合适。