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1例罕见的夹闭病例发生肺动脉栓塞。

A rare pinch-off case embolized to the pulmonary artery.

作者信息

Abbasov Aykhan, Kocatürk Celalettin, Uçar Adem, Yanar Hakan

机构信息

Department of General Surgery, Liv Hospital Ulus, Istanbul, Türkiye.

Department of Thoracic Surgery, Liv Hospital Ulus, Istanbul, Türkiye.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2023 Jan 30;31(1):128-130. doi: 10.5606/tgkdc.dergisi.2023.20368. eCollection 2023 Jan.

DOI:10.5606/tgkdc.dergisi.2023.20368
PMID:36926152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10012974/
Abstract

The pinch-off syndrome is defined as the embolization of the central catheter inserted via the subclavian approach due to the mechanical compression between the clavicle, the first rib, the subclavius muscle, and the costoclavicular ligament. Embolization to the pulmonary artery is an extremely rare condition. In this article, we present a rare case with ovarian cancer who had multiple metastases both locally and lungs, the port catheter was fractured into three parts, the proximal part was removed, the middle part was left between the subclavian vein and the skin, and the long distal part was embolized to the pulmonary artery.

摘要

夹闭综合征是指经锁骨下途径插入的中心静脉导管因锁骨、第一肋骨、锁骨下肌和肋锁韧带之间的机械性压迫而发生栓塞。肺动脉栓塞是一种极其罕见的情况。在本文中,我们报告了一例罕见的卵巢癌病例,该患者局部和肺部均有多处转移,其端口导管断裂成三部分,近端部分被取出,中间部分留在锁骨下静脉和皮肤之间,而长的远端部分则栓塞至肺动脉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/885f/10012974/93f83209284f/TJTCS-2023-31-1-128-130-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/885f/10012974/166c01224c94/TJTCS-2023-31-1-128-130-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/885f/10012974/93f83209284f/TJTCS-2023-31-1-128-130-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/885f/10012974/166c01224c94/TJTCS-2023-31-1-128-130-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/885f/10012974/93f83209284f/TJTCS-2023-31-1-128-130-F2.jpg

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1
A rare pinch-off case embolized to the pulmonary artery.1例罕见的夹闭病例发生肺动脉栓塞。
Turk Gogus Kalp Damar Cerrahisi Derg. 2023 Jan 30;31(1):128-130. doi: 10.5606/tgkdc.dergisi.2023.20368. eCollection 2023 Jan.
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Pinch-off syndrome from a chemoport catheter successfully managed with endovascular retrieval.经血管内取出术成功治疗的化疗端口导管所致夹闭综合征
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A delayed complication of a port-a-cath insertion via subclavian venous access: Case report of a "pinch-off syndrome".经锁骨下静脉通路置入输液港的迟发性并发症:一例“夹闭综合征”病例报告
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[Pinch-off syndrome].[夹闭综合征]
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[Catheter fracture and pulmonary embolization of the distal fragment: a rare complication of the totally implantable venous access port].[导管断裂及远端碎片肺栓塞:全植入式静脉通路端口的一种罕见并发症]
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本文引用的文献

1
Complications and management strategies of totally implantable venous access port insertion through percutaneous subclavian vein.经皮锁骨下静脉置入全植入式静脉输液港的并发症及处理策略
Turk Gogus Kalp Damar Cerrahisi Derg. 2019 Oct 23;27(4):499-507. doi: 10.5606/tgkdc.dergisi.2019.17972. eCollection 2019 Oct.
2
Clinical review and analysis of complications of totally implantable venous access devices for chemotherapy.化疗用完全植入式静脉输液港并发症的临床回顾与分析。
Med Oncol. 2012 Jun;29(2):1361-4. doi: 10.1007/s12032-011-9887-y. Epub 2011 Mar 6.
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Central venous access ports placed by interventional radiologists: experience with 125 consecutive patients.
介入放射科医生放置中心静脉通路端口:125例连续患者的经验
Cardiovasc Intervent Radiol. 2001 May-Jun;24(3):180-4. doi: 10.1007/s002700001721.
4
Implantable vascular access systems: experience in 1500 patients with totally implanted central venous port systems.植入式血管通路系统:1500例完全植入式中心静脉端口系统患者的经验
World J Surg. 1998 Jan;22(1):12-6. doi: 10.1007/s002689900342.
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Totally implanted venous and arterial access system to replace external catheters in cancer treatment.用于癌症治疗中替代外置导管的完全植入式动静脉通路系统。
Surgery. 1982 Oct;92(4):706-12.
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The "pinch-off sign": a warning of impending problems with permanent subclavian catheters.“夹闭征”:永久性锁骨下导管即将出现问题的警示信号。
Am J Surg. 1984 Nov;148(5):633-6. doi: 10.1016/0002-9610(84)90340-4.