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Successful Percutaneous Transcatheter Retrieval of a Migrated Implantable Venous Port in a Patient Who Presented with Intermittent Palpitation

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초록

The totally implantable venous port device is used in patients undergoing chemotherapy. The complications associated with this device include venous thrombosis, infection, catheter fracture, extravasation, and intravascular dislodgement. The incidence of port catheter dislodgement is low. The treatment of choice for port dislocation involves immediate retrieval of the distal migrated part, and percutaneous transcatheter retrieval is regarded as the standard method. A 40-year-old female presented with intermittent palpitation. She was referred from the Department of General Surgery after detection of a fractured and dislocated implantable venous port system into the main pulmonary artery. We successfully retrieved the dislocated fractured device using a 5-Fr pigtail catheter and snare catheter. We herein report this case with a literature review.

Abstract

The totally implantable venous port device is used in patients undergoing chemotherapy. The complications associated with this device include venous thrombosis, infection, catheter fracture, extravasation, and intravascular dislodgement. The incidence of port catheter dislodgement is low. The treatment of choice for port dislocation involves immediate retrieval of the distal migrated part, and percutaneous transcatheter retrieval is regarded as the standard method. A 40-year-old female presented with intermittent palpitation. She was referred from the Department of General Surgery after detection of a fractured and dislocated implantable venous port system into the main pulmonary artery. We successfully retrieved the dislocated fractured device using a 5-Fr pigtail catheter and snare catheter. We herein report this case with a literature review.

참고문헌 (10)

  1. Surov A, "Intravenous port catheter embolization: mechanisms, clinical features, and management", Angiology, 59, pp.90~97 (2008)
  2. Cheng CC, "Percutaneous retrieval of dislodged totally implantable central venous access system in 92 cases : experience in a single hospital", Eur J Radiol, 69, pp.346~350 (2009)
  3. Chuang MT, "Concurrent use of pigtail and loop snare catheters for percutaneous retrieval of dislodged central venous port catheter", Kaohsiung J Med Sci, 27, pp.514~519 (2011)
  4. Turner DD, "Accidental passage of a polyethylene catheter from cubital vein to right atrium; report of a fatal case", N Engl J Med, 251, pp.744~745 (1954)
  5. O Kil Kim, "Transluminal Removal of a Fractured and Embolized Indwelling Central Venous Catheter in the Pulmonary Artery", The Korean Journal of Internal Medicine, 21(3), pp.187~190 (2006), 대한내과학회
  6. Wu PY, "Spontaneous migration of a Port-a-Cath catheter into ipsilateral jugular vein in two patients with severe cough", Ann Vasc Surg, 19, pp.734~736 (2005)
  7. Rasuli P, "Spontaneous intrajugular migration of long-term central venous access catheters", Radiology, 182, pp.822~824 (1992)
  8. Thomas J, "Non-surgical retrieval of a broken segment of steel spring guide from the right atrium and inferior vena cava", Circulation, 30, pp.106~108 (1964)
  9. Dondelinger RF, "Percutaneous vascular foreign body retrieval : experience of an 11-year period", Eur J Radiol, 12, pp.4~10 (1991)
  10. 김정은, "Percutaneous Retrieval of an Embolized Central Venous Chemoport in a Patient With Colon Cancer", Korean Circulation Journal, 42(2), pp.122~124 (2012), 대한심장학회

관련 논문AI추천

위암 환자에서 발생한 피하매몰 중심정맥포트 골절 및 심장 내 전위 1예길상현, 김수정, 김은옥, 유지한, 이종민, 임근우, 조규민대한내과학회 · 대한내과학회지2010 · 제78권 제2호Transluminal Removal of a Fractured and Embolized Indwelling Central Venous Catheter in the Pulmonary ArteryJee Hyun Lee, Ji Ho Ko, Jong Bin Kim, O Kil Kim, Su Hong Kim, Sung Hwan Jo, Woo Seong Jeon대한내과학회 · The Korean Journal of Internal Medicine2006 · 제21권 제3호Subacute, Silent Embolization of Amplatzer Atrial Septal Defect Closure Device to the Pulmonary Artery박종선, 손장원한국심초음파학회 · Journal of Cardiovascular Imaging2012 · 제20권 제4호Surgical Removal of Endovascular Stent after Migration to the Right Ventricle Following Right Subclavian Vein Deployment for Treatment of Central Venous Stenosis강욱, 고성현, 김선광, 김수홍, 김일수, 김지웅, 조성호, 천지현, Sea-Won Lee한국심초음파학회 · Journal of Cardiovascular Imaging2011 · 제19권 제4호Complications of Central Venous Totally Implantable Access Port:Internal Jugular Versus Subclavian Access류훈, 박일환, 변천성, 오중환, 정재흥, 정필영, Eunbi Lee대한중환자의학회 · Acute and Critical Care2015 · 제30권 제1호Complications of Central Venous Totally Implantable Access Port: Internal Jugular Versus Subclavian Access류훈, 박일환, 변천성, 오중환, 이은비, 정재형, 정필영대한중환자의학회 · Acute and Critical Care2015 · 제30권 제4호

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