위암 환자에서 발생한 피하매몰 중심정맥포트 골절 및 심장 내 전위 1예
A case of a fractured and impacted central venous chemoport in a patient with stomach cancer
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저자들은 자발적으로 중심정맥포트가 골절된 후 이상 전위되어 우심방 내 고리에 감입되어 기존의 올가미를 사용한 경피적 제거술로 포획이 어려워 고주파 전극도자를 사용하여 감입된 중심정맥포트를 심장 내로 이동시켜 개흉술 없이 경피적으로 제거한 경험을 하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
A central venous port catheter is widely used to administer fluids, chemotherapeutic agents, and parenteral nutrition; however, similar to other invasive procedures, it has numerous potential complications. Among them, distal migration of a fractured central venous port catheter is a rare complication. A 66-year-old man had a central venous port catheter implanted into the right subclavian vein for adjuvant stomach cancer chemotherapy and presented with an ulceration at the chemoport insertion site. While removing the port catheter, it fractured and the distal tip and migrated and impacted the annulus of the right atrium. The impacted port catheter was successfully removed through a femoral vein approach using a radiofrequency ablation catheter and a multi snare.
참고문헌 (11)
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