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腔内扩张技术移除嵌顿的输液港:一例报告

Endoluminal Dilation Technique to Remove Stuck Port-A-Cath: A Case Report.

作者信息

Cerini Paolo, Guzzardi Giuseppe, Galbiati Andrea, Stanca Carmelo, Del Sette Bruno, Carriero Alessandro

机构信息

Department of Diagnostic and Interventional Radiology, "Maggiore della Carità" University Hospital, Novara, Italy.

Department of Diagnostic and Interventional Radiology, "Maggiore della Carità" University Hospital, Novara, Italy.

出版信息

Ann Vasc Surg. 2017 Aug;43:317.e1-317.e3. doi: 10.1016/j.avsg.2017.04.042. Epub 2017 May 8.

Abstract

Port-a-cath is a type of central venous catheter (CVC) designed to allow repeated access to the venous system for parenteral delivery of medications, fluids, and nutritional solutions and for sampling venous blood. After years of use or in case of damage, CVC must be removed and eventually replaced: the recovery of the device should normally be easy, with a small surgical incision of the skin and tissues surrounding the device and pulling the catheter. Sometimes, scar tissue can develop around the device, making it resistant to removal even after application of forceful traction. We report a case of stuck port-a-cath that was extracted by using endoluminal dilatation technique.

摘要

植入式静脉输液港是一种中心静脉导管(CVC),旨在允许反复进入静脉系统,以便通过胃肠外途径输送药物、液体和营养溶液以及采集静脉血样。经过数年使用或出现损坏后,必须移除并最终更换中心静脉导管:通常应能轻松回收该装置,只需在装置周围的皮肤和组织上做一个小手术切口,然后拔出导管即可。有时,装置周围会形成瘢痕组织,即使在强力牵引后也难以移除。我们报告了一例通过腔内扩张技术取出的植入式静脉输液港卡顿病例。

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