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使用球囊导管取出嵌顿于外周肺动脉的中心静脉导管。

Removal of a Central Venous Catheter Impacted in the Peripheral Pulmonary Artery Using a Balloon Catheter.

作者信息

Kato Hiroaki, Kato Noriyuki, Yamaoka Yuki, Ouchi Takafumi, Higashigawa Takatoshi, Nomura Hideki, Sakuma Hajime

机构信息

Department of Radiology, Mie University Hospital, Japan.

Department of Oncology, Tohyama Hospital, Japan.

出版信息

Interv Radiol (Higashimatsuyama). 2025 Aug 1;10:e20240042. doi: 10.22575/interventionalradiology.2024-0042. eCollection 2025.

Abstract

Disruption of the central venous port catheter was identified on the chest radiograph of a 36-year-old woman who had undergone chemotherapy following resection of her colon cancer. Computed tomography revealed that the catheter was impacted in the peripheral pulmonary artery. Instead of using a snare wire, a balloon catheter was inserted into the lumen of the disrupted catheter due to its tight lodging in the pulmonary artery. The disrupted catheter was successfully removed without complications. This technique may prove useful when using a snare wire is deemed challenging, and a guidewire can be inserted into the catheter lumen.

摘要

在一名36岁结肠癌切除术后接受化疗的女性胸部X光片上发现中心静脉端口导管中断。计算机断层扫描显示导管嵌顿在外周肺动脉中。由于导管紧密嵌顿在肺动脉中,未使用圈套器钢丝,而是将球囊导管插入中断导管的管腔内。中断的导管被成功取出,无并发症。当使用圈套器钢丝被认为具有挑战性且导丝可插入导管管腔时,该技术可能会被证明是有用的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d359/12408237/5ba74469f7c3/2432-0935-10-e2024-0042-g001.jpg

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