PDF(Pubmed)
Abstract：
BACKGROUND: Central venous catheters may become embedded due to the formation of adhesions between the indwelling catheter and the vein wall.
METHODS: A 49-year-old patient with bacteraemia was referred for retrieval of an embedded internalised central venous dialysis catheter. Recently the catheter had been surgically ligated at the venotomy site internalising the intravascular catheter component, which precluded antegrade ballooning through the catheter hub. Seldinger technique was used to access the catheter lumen within the left internal jugular vein and through and through access was established across the catheter. Retrograde endoluminal balloon dilation was performed to disrupt adhesions and free the catheter. The catheter was snared over the wire and removed from the right femoral vein.
CONCLUSIONS: This case report outlines an effective, minimally invasive retrieval method in a rare case of an embedded internalised central venous catheter.
METHODS: A 49-year-old patient with bacteraemia was referred for retrieval of an embedded internalised central venous dialysis catheter. Recently the catheter had been surgically ligated at the venotomy site internalising the intravascular catheter component, which precluded antegrade ballooning through the catheter hub. Seldinger technique was used to access the catheter lumen within the left internal jugular vein and through and through access was established across the catheter. Retrograde endoluminal balloon dilation was performed to disrupt adhesions and free the catheter. The catheter was snared over the wire and removed from the right femoral vein.
CONCLUSIONS: This case report outlines an effective, minimally invasive retrieval method in a rare case of an embedded internalised central venous catheter.
摘要：
背景：由于在留置导管和静脉壁之间形成粘连，中心静脉导管可能被嵌入。
方法：一名49岁的菌血症患者被转诊以取回内置式中心静脉透析导管。最近，导管已在静脉切开部位进行了手术结扎，使血管内导管组件内化。这排除了通过导管毂的顺行膨胀。使用Seldinger技术进入左颈内静脉内的导管腔，并在导管上建立贯穿通道。进行逆行腔内球囊扩张以破坏粘连并释放导管。将导管套在导线上并从右股静脉中取出。
结论：本病例报告概述了一种有效的，在罕见的嵌入式内置式中心静脉导管病例中采用微创检索方法。
方法：一名49岁的菌血症患者被转诊以取回内置式中心静脉透析导管。最近，导管已在静脉切开部位进行了手术结扎，使血管内导管组件内化。这排除了通过导管毂的顺行膨胀。使用Seldinger技术进入左颈内静脉内的导管腔，并在导管上建立贯穿通道。进行逆行腔内球囊扩张以破坏粘连并释放导管。将导管套在导线上并从右股静脉中取出。
结论：本病例报告概述了一种有效的，在罕见的嵌入式内置式中心静脉导管病例中采用微创检索方法。
