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手臂静脉港手术中遇到的贵要静脉变异:一例报告。

Basilic vein variation encountered during surgery for arm vein port: A case report.

作者信息

Hu Cheng-Da, Lv Rui, Zhao Ya-Xin, Zhang Ming-Hao, Zeng Hong-Dou, Mao Yi-Wen

机构信息

Department of Breast Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang Province, China.

出版信息

World J Clin Cases. 2024 Apr 26;12(12):2086-2091. doi: 10.12998/wjcc.v12.i12.2086.

DOI:10.12998/wjcc.v12.i12.2086
PMID:38680270
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11045501/
Abstract

BACKGROUND

Venous variations are uncommon and usually hard to identify, and basilic vein variation is particularly rare. Basilic vein variation usually presents without any clinical symptoms and is often regarded as a benign alteration. This case was a patient with congenital basilic vein variation encountered during surgery for an infusion port.

CASE SUMMARY

We documented and analyzed an uncommon anatomical variation in the basilic vein encountered during arm port insertion. This peculiarity has hitherto remained undescribed in the literature. We offer remedial strategies for addressing this anomaly in the future and precautionary measures to circumvent its occurrence. We conducted a comprehensive review of analogous cases in the literature, offering pertinent therapeutic recommendations and solutions, with the aim of enhancing the efficacy and safety of future arm port implantations.

CONCLUSION

Venous variation is rare and requires detailed intraoperative and postoperative examination to ensure accuracy, so as not to affect subsequent treatment.

摘要

背景

静脉变异并不常见,通常难以识别,而贵要静脉变异尤为罕见。贵要静脉变异通常无任何临床症状,常被视为良性改变。本病例是一名在植入输液港手术过程中遇到先天性贵要静脉变异的患者。

病例摘要

我们记录并分析了在手臂植入输液港时遇到的贵要静脉罕见解剖变异。这种特殊情况迄今在文献中尚未有描述。我们提供了未来应对这种异常情况的补救策略以及预防其发生的预防措施。我们对文献中的类似病例进行了全面回顾,提供了相关的治疗建议和解决方案,旨在提高未来手臂输液港植入的有效性和安全性。

结论

静脉变异罕见,需要进行详细的术中及术后检查以确保准确性,以免影响后续治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ffb/11045501/9da5d4833903/WJCC-12-2086-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ffb/11045501/6df6285f135d/WJCC-12-2086-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ffb/11045501/b3725c206eb7/WJCC-12-2086-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ffb/11045501/5598c19d5dc0/WJCC-12-2086-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ffb/11045501/9da5d4833903/WJCC-12-2086-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ffb/11045501/6df6285f135d/WJCC-12-2086-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ffb/11045501/b3725c206eb7/WJCC-12-2086-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ffb/11045501/5598c19d5dc0/WJCC-12-2086-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ffb/11045501/9da5d4833903/WJCC-12-2086-g004.jpg

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本文引用的文献

1
The Radiographic Changes of Catheter Tip in Different Positions of Arm Infusion Port.导管尖端在手臂输液港不同位置的 X 线变化。
Contrast Media Mol Imaging. 2022 Jun 22;2022:9374774. doi: 10.1155/2022/9374774. eCollection 2022.
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Comparison of the Quality of Life of Patients with Breast or Colon Cancer with an Arm Vein Port (TIVAD) Versus a Peripherally Inserted Central Catheter (PICC).比较带 TIVAD(经手臂静脉港)与 PICC(外周置入中心静脉导管)的乳腺癌或结肠癌患者的生活质量。
Curr Oncol. 2021 Apr 9;28(2):1495-1506. doi: 10.3390/curroncol28020141.
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Comparison between Arm Port and Chest Port for Optimal Vascular Access Port in Patients with Breast Cancer: A Systematic Review and Meta-Analysis.
乳腺癌患者最佳血管通路端口的 Arm Port 和 Chest Port 比较:系统评价和荟萃分析。
Biomed Res Int. 2020 Feb 13;2020:9082924. doi: 10.1155/2020/9082924. eCollection 2020.
4
Implanting totally implantable venous access ports in the upper arm is feasible and safe for patients with early breast cancer.对于早期乳腺癌患者,在上臂植入全植入式静脉通路端口是可行且安全的。
J Vasc Access. 2020 Sep;21(5):609-614. doi: 10.1177/1129729819894461. Epub 2019 Dec 16.
5
PICC-PORT totally implantable vascular access device in breast cancer patients undergoing chemotherapy.PICC-PORT在接受化疗的乳腺癌患者中的完全植入式血管通路装置
J Vasc Access. 2020 Jul;21(4):460-466. doi: 10.1177/1129729819884482. Epub 2019 Nov 1.
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Arm port vs chest port: a systematic review and meta-analysis.手臂端口与胸部端口:一项系统评价与荟萃分析
Cancer Manag Res. 2019 Jul 3;11:6099-6112. doi: 10.2147/CMAR.S205988. eCollection 2019.
7
Which is Better for Patients with Breast Cancer: Totally Implanted Vascular Access Devices (TIVAD) or Peripherally Inserted Central Catheter (PICC)?乳腺癌患者使用完全植入式血管通路装置(TIVAD)好还是经外周静脉穿刺中心静脉置管(PICC)好?
World J Surg. 2019 Sep;43(9):2245-2249. doi: 10.1007/s00268-019-05022-x.
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Totally Implantable Venous Access Devices: A Review of Complications and Management Strategies.完全植入式静脉通路装置:并发症及管理策略综述
Am J Clin Oncol. 2017 Feb;40(1):94-105. doi: 10.1097/COC.0000000000000361.
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Satisfaction and Quality of Life Related to Chemotherapy With an Arm Port: A Pilot Study.与经手臂端口进行化疗相关的满意度和生活质量:一项试点研究。
Can Assoc Radiol J. 2016 Aug;67(3):290-7. doi: 10.1016/j.carj.2015.11.007. Epub 2016 May 18.
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A review of clinical aspects of breast cancer.乳腺癌临床方面的综述。
Int Rev Psychiatry. 2014 Feb;26(1):4-15. doi: 10.3109/09540261.2013.852971.