Obaid Thaer, Cricco Corinne, Simka Ani, Fine Richard, Ramamoorthy Saravanan, Zaki Radi
Department of Transplant Surgery, Einstein Healthcare Network, Philadelphia, PA, USA.
Department of Anesthesiology, Einstein Healthcare Network, Philadelphia, PA, USA.
Case Rep Transplant. 2018 May 30;2018:5406098. doi: 10.1155/2018/5406098. eCollection 2018.
Central venous catheters play a pivotal role in the perioperative support of critically ill patients. They are used for administration of fluids, vasopressors, blood products, and various medications; however, their use may be associated with serious complications, such as catheter fracture and embolization. While most data on catheter fracture embolization consist of isolated case reports, only a few studies have examined patients with central venous catheter embolism. We report a traumatic inadvertent transection of central venous catheter that migrated through a donor transplanted liver and was found to be lodged in the recipient's right ventricle. The catheter was retrieved under fluoroscopy using a trilobed snare device.
中心静脉导管在危重症患者围手术期支持中发挥着关键作用。它们用于输注液体、血管加压药、血液制品及各种药物；然而，其使用可能会引发严重并发症，如导管断裂和栓塞。虽然关于导管断裂栓塞的大多数数据仅包含个别病例报告，但仅有少数研究对中心静脉导管栓塞患者进行过检查。我们报告了一例中心静脉导管意外创伤性横断病例，该导管经供体移植肝脏游走，最终发现嵌顿于受体右心室。在荧光透视引导下，使用三叶圈套器将导管取出。
