Chen Gui-Qin, Wu Yang, Zhao Kai-Fei, Shi Rong-Shu
Department of Radiology, The Affiliated Hospital of Zunyi Medical University, Zunyi 563000, Guizhou Province, China.
Department of Intervention, The Affiliated Hospital of Zunyi Medical University, Zunyi 563000, Guizhou Province, China.
World J Clin Cases. 2021 Oct 16;9(29):8820-8824. doi: 10.12998/wjcc.v9.i29.8820.
Implanted intravenous infusion port (IVAP) is indicated for patients undergoing chemotherapy, total parenteral nutrition and long-term antibiotic treatment. Among their complications, the rupture and migration of the catheter of an IVAP internal jugular vein represents a very rare but potentially severe condition.
A 43-year-old woman was identified with a spontaneous fracture and migration of catheter of an IVAP right internal jugular vein after adjuvant chemotherapy for left breast cancer. A computed tomography showed the fractured catheter of the IVAP in the pulmonary artery. Therefore, we conducted an emergency procedure to remove the catheter fragment by a pigtail catheter combined with a gooseneck trap.
When the fractured catheter of an IVAP was detected, the special shape of the pigtail catheter in combination with the gooseneck trap successfully facilitated the removal of the dislodged catheter.
植入式静脉输液港（IVAP）适用于接受化疗、全胃肠外营养及长期抗生素治疗的患者。在其并发症中，IVAP颈内静脉导管破裂和移位是一种非常罕见但可能很严重的情况。
一名43岁女性在左乳腺癌辅助化疗后，被发现IVAP右颈内静脉导管发生自发性断裂并移位。计算机断层扫描显示IVAP断裂的导管位于肺动脉内。因此，我们通过猪尾导管联合鹅颈圈套器进行了紧急操作以取出导管碎片。
当检测到IVAP导管断裂时，猪尾导管的特殊形状与鹅颈圈套器相结合成功地便于取出移位的导管。
