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一例罕见的肺动脉内化疗端口导管移位并嵌顿病例

A Rare Case of Dislodged Chemoport Catheter Entrapment in the Pulmonary Artery.

作者信息

Shrestha Sanjay, Pandey Naveen Kumar, Jaiswal Lokesh Shekher, Gyawali Achyut, Pandey Brijesh, Thapa Rajan, Ghimire Jeet Prasad, Thapa Bhuwan, Chaurasia Pawan

机构信息

Department of Cardiology, BP Koirala Institute of Health Sciences, Dharan, Nepal.

Department of Cardiothoracic and Vascular Surgery, BP Koirala Institute of Health Sciences, Dharan, Nepal.

出版信息

Case Rep Vasc Med. 2025 Mar 19;2025:9100288. doi: 10.1155/crvm/9100288. eCollection 2025.

Abstract

Implantable subcutaneous chemoports are routinely employed for delivering chemotherapy in oncology. Spontaneous catheter dislodgement and embolization of the catheters are rare complications of the procedure. Herein, we report our experience with a patient presenting with spontaneous dislodgement and migration of the catheter to the pulmonary artery. The patient having familial adenomatous polyposis with adenocarcinoma of the right colon underwent total proctocolectomy and had placement of the chemoport through the internal jugular vein for adjuvant FOLFOX chemotherapy. The entrapped catheter was successfully managed by percutaneous retrieval by an interventional cardiologist.

摘要

可植入皮下化疗端口在肿瘤学中常用于输送化疗药物。导管自发移位和栓塞是该手术罕见的并发症。在此,我们报告了一例导管自发移位并迁移至肺动脉的患者的治疗经验。该患者患有家族性腺瘤性息肉病并伴有右结肠癌,接受了全直肠结肠切除术,并通过颈内静脉放置了化疗端口以进行辅助性FOLFOX化疗。介入心脏病专家通过经皮取出成功处理了被困的导管。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f220/11944778/4d9adb5046ae/CRIVAM2025-9100288.001.jpg

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