Raungaard B, Thuesen L
Medicinsk afdeling, Viborg Sygehus.
Ugeskr Laeger. 1995 Dec 18;157(51):7152-3.
The totally implantable catheter system has gained popularity as venous access when prolonged treatment is needed. It has several advantages over other methods of venous access, such as less discomfort for the patient, and a decreased rate of complications. A case with an uncommon but potentially serious complication, i.e. spontaneous intravascular fracture of the outlet catheter, is reported. The distal fragment of the catheter migrated into the right ventricle of the heart. The embolized fragment was removed percutaneously with a snare catheter. Causes of catheter fracture are discussed, and recommendations for implantation and radiological control are outlined.
当需要长期治疗时，全植入式导管系统作为静脉通路已越来越受欢迎。与其他静脉通路方法相比，它有几个优点，比如患者不适感较轻，并发症发生率较低。本文报告了一例罕见但可能严重的并发症，即出口导管自发性血管内骨折的病例。导管的远端碎片迁移至心脏右心室。用圈套导管经皮取出了栓塞的碎片。讨论了导管骨折的原因，并概述了植入和放射学控制的建议。
