Mohandes Mohsen, Rojas Sergio, Quintern Verónica, Mercé Jordi, Moreno Cristina, Guarinos Jordi
Interventional Cardiology Unit, Cardiology Division, Joan XXIII University Hospital, Universitat Rovira Virgili, Calle Dr Mallafré Guasch 4, 43007 Tarragona, Spain.
Interventional Cardiology Unit, Cardiology Division, Joan XXIII University Hospital, Universitat Rovira Virgili, Calle Dr Mallafré Guasch 4, 43007 Tarragona, Spain.
Cardiovasc Revasc Med. 2017 Dec;18(8):607-610. doi: 10.1016/j.carrev.2017.07.001. Epub 2017 Jul 8.
We present a case of a 63-year-old woman who underwent chemotherapy for breast cancer through a port-a-cath inserted in left subclavian vein. The device was withdrawn one year later due to jugular vein thrombosis plus dysfunction of the device. A few years later a chest X-ray for scrutinizing dyspnea showed a catheter located in right heart chambers. Percutaneous retrieval via right subclavian vein was planned. Both catheter ends were impacted against heart structures and were not free to be easily captured by a snare. By using a pig-tail catheter we were able to seize the catheters loop portion and pull it back slightly. Once the catheter ends became free we seized one of the catheter's distal ends with a snare and successfully externalised it.
我们报告一例63岁女性患者，她通过插入左锁骨下静脉的植入式静脉输液港接受乳腺癌化疗。一年后，由于颈静脉血栓形成以及输液港功能障碍，该装置被取出。几年后，为检查呼吸困难而进行的胸部X光检查显示，一根导管位于右心室内。计划通过右锁骨下静脉进行经皮取出。导管两端均与心脏结构相抵，圈套器无法轻易将其捕获。通过使用猪尾导管，我们抓住了导管的环形部分并稍微向后拉。一旦导管末端松开，我们用圈套器抓住导管的一个远端并成功将其引出体外。
