The George Washington University School of Medicine and Health Sciences, Washington, D.C., USA.
Interventional Radiology, Children's National Medical Center, Washington, D.C., USA.
Pediatr Radiol. 2023 May;53(6):1207-1210. doi: 10.1007/s00247-023-05599-5. Epub 2023 Jan 30.
Tunneled central venous catheters and ports provide a long-term method of delivering nutrition, hydration, or medications in children. When these devices are no longer needed, it is best practice to remove them entirely. Complications associated with having long-term venous access devices or the process of device removal include site infections, venous thrombosis or occlusion, device fracture, and possible migration of fractured fragments. We present a case of catheter fragmentation that occurred in a pediatric patient during removal of a 3-year-old left chest port that had been placed into a left superior vena cava (SVC).
经皮中心静脉导管和输液港为儿童提供了一种长期给予营养、水合或药物的方法。当这些装置不再需要时，最好将其完全移除。与长期使用静脉通路装置或装置移除过程相关的并发症包括部位感染、静脉血栓形成或阻塞、装置断裂以及断裂碎片的可能迁移。我们报告了一例在移除一个已置入左上腔静脉（SVC）的 3 岁左前胸输液港时发生的导管碎裂的病例。
