Lemburg Brigid K, Walker Julie M
Department of Medical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI, USA.
JFMS Open Rep. 2024 Sep 13;10(2):20551169241273600. doi: 10.1177/20551169241273600. eCollection 2024 Jul-Dec.
A 6-year-old castrated male domestic shorthair cat was evaluated for recurrent pleural effusion, atrial fibrillation and suspected congestive heart failure. During thoracocentesis, the fenestrated over-the-needle catheter became fractured and a catheter fragment remained in the patient's left pleural space. Later in the course of treatment, the patient acutely decompensated and was euthanized. There were no immediately observed complications associated with the retained catheter fragment.
To the authors' knowledge, there are no reports of over-the-needle catheter fractures with retained pleural catheter fragments in veterinary medicine. Similar cases in humans have been successfully managed with and without removal of catheter fragments. In veterinary medicine, the decision to attempt removal of a catheter fragment must consider both the likelihood of related morbidity and the patient's ability to tolerate an invasive procedure.
一只6岁去势的雄性家养短毛猫因反复出现胸腔积液、心房颤动及疑似充血性心力衰竭接受评估。在胸腔穿刺过程中，带侧孔的穿刺针导管发生断裂，导管碎片留在了病猫的左胸腔内。在后续治疗过程中，病猫病情急性恶化，最终实施了安乐死。未立即观察到与残留导管碎片相关的并发症。
据作者所知，兽医学领域尚无带侧孔穿刺针导管断裂并残留胸腔导管碎片的相关报道。人类医学中，对于类似病例，无论是否取出导管碎片均成功进行了处理。在兽医学中，决定是否尝试取出导管碎片时，必须同时考虑相关发病率的可能性以及病猫耐受侵入性操作的能力。
