Farshidmehr Pezhman, Omrani Zahra, Cheraghali Roozbeh
Tehran University of Medical Sciences, Sina Hospital, Tehran, Iran.
Department of Surgery, Iran University of Medical Sciences, Tehran, Iran.
J Surg Case Rep. 2021 May 10;2021(5):rjab194. doi: 10.1093/jscr/rjab194. eCollection 2021 May.
Totally implantable catheters tend to be the most popular choice because once installed they allow permanent access to a deep vein, which is gained by puncturing the port rather than a vein. In this article, we explain four cases of chemotherapy port complications: superior vena cava (SVC) syndrome in a metastatic colorectal cancer patient who presented with bilateral mastitis, snare technique for removal of migrated catheter line, carotid artery placement of a port in a 5-year-old child that was referred to our hospital from a pediatric center and adhesive port tip in the heart that finally we left the port . In SVC syndrome, treatment should be guided by the severity of symptoms, etiology of the obstruction, prognosis of the patient and treatment goals. We propose timely removal of port-a-cath following completion of intended chemotherapeutic regimen.
完全植入式导管往往是最受欢迎的选择，因为一旦安装好，它们就能提供对深静脉的永久通路，这种通路是通过穿刺端口而非静脉获得的。在本文中，我们阐述了4例化疗端口并发症：1例转移性结直肠癌患者出现双侧乳腺炎合并上腔静脉（SVC）综合征；1例采用圈套技术取出移位的导管；1例5岁儿童从儿科中心转诊至我院，其端口植入到了颈动脉；还有1例心脏内端口尖端粘连，最终我们保留了该端口。对于SVC综合征，治疗应根据症状严重程度、梗阻病因、患者预后及治疗目标来指导。我们建议在完成预定化疗方案后及时取出植入式静脉输液港。
