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使用自制圈套器经皮血管内取出右心房内断裂的输液港导管

Percutaneous endovascular removal of a broken port-a-catheter from right atrium using manual made snare.

作者信息

Azeemuddin Muhammad, Khan Anosha, Ansari Iflah, Shahid Jehanzeb, Khan Faheemullah, Haq Tanveer Ul, Iqbal Junaid, Sayani Raza, Khattak Taif

机构信息

Department of Radiology, Aga Khan University Hospital, Karachi, Pakistan.

Jinnah Medical and Dental College, Karachi, Pakistan.

出版信息

Radiol Case Rep. 2022 May 9;17(7):2437-2440. doi: 10.1016/j.radcr.2022.01.066. eCollection 2022 Jul.

DOI:10.1016/j.radcr.2022.01.066
PMID:35586162
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9108744/
Abstract

Fracture and migration of port-a-catheter, following long term access into the central venous vasculature is a rare clinical scenario. The consequences of fracture and migration includes fragmented device relocating into the right atrium or ventricle, eventually causing life threatening complications such as arrhythmias, pseudoaneurysms, perforations or very rarely embolization. We report a case of a 67-year-old female with a broken port-a-catheter which had been placed initially for chemotherapy for bilateral breast cancer. Chest radiograph showed the fragmented catheter had migrated to the right atrium; which was successfully removed via percutaneous radiological endovascular intervention. No immediate post procedure complication was noted.

摘要

长期接入中心静脉血管系统后，输液港导管发生断裂和移位是一种罕见的临床情况。断裂和移位的后果包括破碎的装置移位至右心房或心室，最终导致危及生命的并发症，如心律失常、假性动脉瘤、穿孔，或极罕见的栓塞。我们报告一例67岁女性病例，其输液港导管断裂，该导管最初是为双侧乳腺癌化疗而放置的。胸部X线片显示破碎的导管已移位至右心房；通过经皮放射血管内介入成功将其取出。术后未发现立即出现的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1944/9108744/338ced6ca417/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1944/9108744/35134d39222f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1944/9108744/338ced6ca417/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1944/9108744/35134d39222f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1944/9108744/338ced6ca417/gr2.jpg

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Spontaneous fracture and migration of catheter of a totally implantable venous access port via internal jugular vein--a case report.
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