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经颈前静脉系统的端口置入：病例报告、解剖学考量及文献综述

Port Placement via the Anterior Jugular Venous System: Case Report, Anatomic Considerations, and Literature Review.

作者信息

Rott Gernot, Boecker Frieder

机构信息

Radiological Department, Bethesda-Hospital Duisburg, Heerstr. 219, 47053 Duisburg, Germany.

出版信息

Case Rep Radiol. 2017;2017:2790290. doi: 10.1155/2017/2790290. Epub 2017 Apr 10.

DOI:10.1155/2017/2790290
PMID:28487803
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5402238/
Abstract

We report on a patient who was referred for port implantation with a two-chamber pacemaker aggregate on the right and total occlusion of the central veins on the left side. Venous access for port implantation was performed via left side puncture of the horizontal segment of the anterior jugular vein system (AJVS) and insertion of the port catheter using a crossover technique from the left to the right venous system via the jugular venous arch (JVA). The clinical significance of the AJVS and the JVA for central venous access and port implantation is emphasised and the corresponding literature is reviewed.

摘要

我们报告了一名患者，该患者因右侧双腔起搏器植入及左侧中心静脉完全闭塞而被转诊进行端口植入。端口植入的静脉通路是通过左侧穿刺颈前静脉系统（AJVS）的水平段，并采用交叉技术，经颈静脉弓（JVA）从左侧静脉系统插入端口导管至右侧静脉系统来完成的。强调了AJVS和JVA在中心静脉通路及端口植入方面的临床意义，并对相关文献进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b97/5402238/d86a88b9ba8b/CRIRA2017-2790290.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b97/5402238/065a922c5d9f/CRIRA2017-2790290.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b97/5402238/e23be8388894/CRIRA2017-2790290.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b97/5402238/4d2fd7e3537c/CRIRA2017-2790290.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b97/5402238/d86a88b9ba8b/CRIRA2017-2790290.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b97/5402238/065a922c5d9f/CRIRA2017-2790290.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b97/5402238/e23be8388894/CRIRA2017-2790290.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b97/5402238/4d2fd7e3537c/CRIRA2017-2790290.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b97/5402238/d86a88b9ba8b/CRIRA2017-2790290.004.jpg

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本文引用的文献

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A case of malpositioned catheter via supraclavicular approach for subclavian vein cannulation: A rare technique revisited.1例经锁骨上入路行锁骨下静脉置管时导管位置异常：一种罕见技术的再探讨。
J Anaesthesiol Clin Pharmacol. 2016 Jan-Mar;32(1):120-2. doi: 10.4103/0970-9185.175720.
2
External jugular vein cross-over as a new technique for percutaneous central venous port access in case of left central venous occlusion.颈外静脉交叉法作为左中心静脉闭塞时经皮中心静脉置管的新技术。
J Vasc Access. 2013 Oct-Dec;14(4):388-91. doi: 10.5301/jva.5000162. Epub 2013 Jul 1.
3
Placement Of A Coronary Sinus Pacing Lead From A Sub-occluded Left Subclavian Vein Using A Collateral Vein To The Right Subclavian Vein.
经左锁骨下静脉亚闭塞段利用 collateral 静脉至右锁骨下静脉置入冠状静脉窦起搏电极导线 。 （注：这里“collateral vein”不太明确准确中文术语，暂保留英文）
Indian Pacing Electrophysiol J. 2011 Nov;11(6):176-9. Epub 2011 Nov 15.
4
Venous access ports: indications, implantation technique, follow-up, and complications.静脉接入端口：适应证、植入技术、随访和并发症。
Cardiovasc Intervent Radiol. 2012 Aug;35(4):751-64. doi: 10.1007/s00270-011-0271-2. Epub 2011 Sep 16.
5
Successful ICD lead implantation via an angulated and tortuous collateral vein after subclavian vein occlusion.
Europace. 2011 Feb;13(2):286-7. doi: 10.1093/europace/euq355. Epub 2010 Oct 6.
6
Subclavian vein versus arm vein for totally implantable central venous port for patients with head and neck cancer: a retrospective comparative analysis.锁骨下静脉与手臂静脉用于头颈部癌症患者完全植入式中心静脉导管：回顾性对比分析。
Cardiovasc Intervent Radiol. 2011 Dec;34(6):1222-9. doi: 10.1007/s00270-010-0051-4. Epub 2010 Dec 3.
7
Placement of a port catheter through collateral veins in a patient with central venous occlusion.经侧支静脉放置中心静脉闭塞患者的端口导管。
Cardiovasc Intervent Radiol. 2010 Apr;33(2):417-20. doi: 10.1007/s00270-009-9613-8. Epub 2009 Jun 6.
8
Misplaced central venous catheter in the jugular venous arch exposed during dissection before sternotomy.在胸骨切开术前解剖过程中暴露的位于颈静脉弓的中心静脉导管位置不当。
J Clin Anesth. 2008 Nov;20(7):542-5. doi: 10.1016/j.jclinane.2008.05.023. Epub 2008 Nov 18.
9
Percutaneous placement of an implantable arm port through an internal mammary venous pathway: Case report.
J Vasc Access. 2003 Oct-Dec;4(4):154-7.
10
The second and third right posterior intercostal veins: an alternate route for central venous access with an implantable port in children.右侧第二和第三肋间后静脉：儿童植入式端口中心静脉通路的替代途径。
J Pediatr Surg. 2005 Nov;40(11):e27-30. doi: 10.1016/j.jpedsurg.2005.07.062.