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采用简化技术经皮取出尖端无法触及的移位化疗端口导管

Percutaneous Retrieval of Dislodged Chemo Port Catheter With Inaccessible Tips by a Simplified Technique.

作者信息

Shah Sanjay C, Radadiya Rajnikant, Patel Aman, Velamakanni Subrahmanya Murti, Patel Tejas

机构信息

Interventional Cardiology, Apex Heart Institute, Ahmedabad, IND.

Cardiac Anesthesiology, Apex Heart Institute, Ahmedabad, IND.

出版信息

Cureus. 2022 Jan 28;14(1):e21692. doi: 10.7759/cureus.21692. eCollection 2022 Jan.

Abstract

Central venous port catheters (CVPCs) are commonly employed for long-term chemotherapy. One of the rare complications associated with CVPCs is catheter fracture and further embolization of the fragmented segment into the heart. The most common site of embolization is the superior vena cava-right atrium (RA) junction. However, infrequently, the catheter may embolize further distally into the right ventricle (RV) and beyond making the fragmented tips difficult to access directly with a snare. Here, we report a case wherein both the catheter tips were lodged in the RV cavity forming a loop in the RA. This necessitated the use of a modified technique to retrieve the fragment percutaneously.

摘要

中心静脉导管(CVPC)常用于长期化疗。与CVPC相关的罕见并发症之一是导管断裂,断裂片段进一步栓塞至心脏。最常见的栓塞部位是上腔静脉-右心房(RA)交界处。然而,导管偶尔可能会进一步向远端栓塞至右心室(RV)及更远部位,导致断裂的尖端难以用圈套器直接触及。在此,我们报告一例病例,其中两个导管尖端均嵌顿在RV腔内,在RA形成一个环。这就需要采用改良技术经皮取出碎片。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5353/8882344/080589f54084/cureus-0014-00000021692-i01.jpg

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