Papatheodorou Nikolaos, Argyriou Christos, Botaitis Sotirios, Diamantidis Dimitrios E, Georgiadis Georgios
General Surgery Department, Democritus University of Thrace, Alexandroupolis, GRC.
Vascular Surgery Department, Democritus University of Thrace, Alexandroupolis, GRC.
Cureus. 2023 Jan 12;15(1):e33681. doi: 10.7759/cureus.33681. eCollection 2023 Jan.
The authors present a case of a successful percutaneous retrieval of a detached port-a-catheter device that had migrated to the right cardiac chambers in a patient with inoperable pancreatic cancer and hepatic metastases. The patient was admitted to the vascular clinic department on an urgent basis due to an accidental detachment of the catheter during removal at another hospital. The catheter had migrated from the initial placement site in the right subclavian vein to the superior vena cava and right heart chambers. Under local anesthesia, the right femoral vein was accessed using the Seldinger technique, and the migrated catheter was retrieved using a triple-snare-loop device for foreign body removal. Chest radiography after the retrieval procedure did not show any foreign bodies in the right heart chambers or superior vena cava. The patient was discharged home the following day.
作者报告了一例成功经皮取出移位至右心腔的植入式静脉输液港装置的病例，该患者患有无法手术的胰腺癌并伴有肝转移。患者因在另一家医院拔除导管时意外脱落，紧急入住血管门诊。导管已从最初放置的右锁骨下静脉移位至上腔静脉和右心腔。在局部麻醉下，采用Seldinger技术穿刺右股静脉，使用三圈套装置取出移位的导管。取出术后胸部X线检查显示右心腔或上腔静脉内无异物。患者于次日出院。
