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| 篇名 |
Use of Stone basket for Removal of Fractured Totally Implanted Central Venous Device Catheters |
| 作者 |
Sheng-Yueh Yu, Chun-Hui Lee, Po-Jen Ko, Hung-Chang Hsieh |
| 卷期/出版年月 |
42卷2期 (2009/4) |
| 頁次 |
87-94 |
| 摘要 |
Objectives: Fracture of a totally implanted central venous device (TICVD) catheter
is rare. The patient needs to receive intervention for the fractured catheter retrieval
and is then operated upon once again for implantable port removal or implantation
of a new one. A stone basket is a form of snare. We believe that the stone basket is as
effective for retrieval of fractured catheters as for traditional bililary and ureteral
lithotripsy.
Methods: From December 2005 to March 2007, thirteen patients were found to
have a fracture of totally implanted central venous device catheters in the operating
room incidentally. We chose the right femoral vein (n=2) or right great saphenous
vein (n=11) for vascular access. The closed stone basket was advanced, and it
captured the fractured catheter under fluoroscopic guidance. Then the stone basket
was pulled back with the trapped catheter. The residual subcutaneous port was
removed at the same time. Besides, another new TICVD could be implanted in the
same operation if needed. All the procedures were completed in the operating room.
Results: All the fractured catheters (n=13) were retrieved successfully without any
complication.
Conclusion: The stone basket is capable of intravascular broken catheter retrieval.
Surgeons can use the stone basket to retrieve the fractured catheter and remove the
residual port in a single operation. |
| 關鍵詞 |
stone basket, fractured catheters, intravascular foreign bodies,complications, endovascular procedure |
| 分類 |
Original Article |
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