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回收迁移至心腔内的断裂经外周静脉中心静脉导管——一种血管腔内方法

Recovery of a broken PICC migrated in cardiac chambersan endovascular approach.

作者信息

Sarti Giuseppe, Quassone Pasquale, Tarotto Luca, Tamburrini Stefania, Arienzo Francesco, Santini Gianpaolo

机构信息

Vascular and Interventional Unit-P.O. Ospedale del Mare, ASL NA1 Centro, Naples, Italy.

Radiology Department, University of Campania "L. Vanvitelli", piazza Luigi Miraglia, 80138, Naples.

出版信息

Radiol Case Rep. 2021 Jan 30;16(4):874-878. doi: 10.1016/j.radcr.2021.01.034. eCollection 2021 Apr.

Abstract

Complications related to the placement of a peripherally inserted central catheter are a common phenomenon and they can lead to acute complications which must be treated in an emergency regime. The aim of this study was to describe cases in their most practical and technical aspect, especially in complicated conditions. This was a descriptive case report of a 64 years old female patient who presented with a fractured peripherally inserted central catheter, migrated into the right heart chambers and inferior vena cava, and how the team arranged for its recovery by endovascular technique, in a frail patient who could not undergo to open surgery.The procedure was completed without any complications. The use of the endovascular technique allows a recovery of the foreign body in a short time, essential for a life-saving procedure; the interventional radiological approach allows less invasiveness in fragile patients and shorter hospitalization times.

摘要

与外周静脉穿刺中心静脉导管置入相关的并发症是一种常见现象,它们可导致急性并发症,必须在紧急情况下进行治疗。本研究的目的是从最实际和技术的角度描述病例,特别是在复杂情况下。这是一份描述性病例报告,一名64岁女性患者,其外周静脉穿刺中心静脉导管断裂,移位至右心腔和下腔静脉,以及团队如何通过血管内技术在无法接受开放手术的体弱患者中取出该导管。手术顺利完成,无任何并发症。血管内技术的应用能够在短时间内取出异物,这对于挽救生命的手术至关重要;介入放射学方法对脆弱患者的侵入性较小,住院时间较短。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0233/7850964/1c6705b999d9/gr4.jpg

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