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Endovascular technique using a snare and suture for retrieving a migrated peripherally inserted central catheter in the left pulmonary artery

查看全文 作　　者：Hiroki [1]Teragawa;Takashi [1]Sueda;Yuichi [1]Fujii;Hiroaki [1]Takemoto;Yasushi [1]Toyota;Shuichi [1]Nomura;Keigo [2]Nakagawa 高影响力作者 机构地区：[1]Department of Cardiovascular Medicine,Hiroshima General Hospital of West Japan Railway Company;[2]Department of Internal Medicine,Chuden Hospital高影响力机构 出　　处：《World Journal of Cardiology》索引2013年第5卷第9期,共4页高影响力期刊 摘　　要：We report a successful endovascular technique using a snare with a suture for retrieving a migrated broken peripherally inserted central catheter(PICC)in a chemotherapy patient.A 62-year-old male received monthly chemotherapy through a central venous port implanted into his right subclavian area.The patient completed chemotherapy without complications 1 mo ago;however,he experienced pain in the right subclavian area during his last chemotherapy session.Computed tomography on that day showed migration of a broken PICC in his left pulmonary artery,for which the patient was admitted to our hospital.We attempted to retrieve the ectopic PICC through the right jugular vein using a gooseneck snare,but were unsuccessful because the catheter was lodged in the pulmonary artery wall.Therefore,a second attempt was made through the right femoral vein using a snare with triple loops,but we could not grasp the migrated PICC.Finally,a string was tied to thetop of the snare,allowing us to curve the snare toward the pulmonary artery by pulling the string.Finally,the catheter body was grasped and retrieved.The endovascular suture technique is occasionally extremely useful and should be considered by interventional cardiologists for retrieving migrated catheters. 关 键 词：Port CATHETER CATHETER migration ENDOVASCULAR SUTURE TECHNIQUE
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