导向IC-ECG的PICC尖端位置在一个dextrocardia:一个案例报告
Weiru Qiao1, Liping Qiao2, Dongdong Li3
1Department of Thoracic Surgery, Tangdu Hospital of Air Force Medical University, Xi'an, China.
导向内腔心电图 (IC-ECG) 导向的外围插入中心导管 (PICC) 放置在患有 situs inversus totalis 的患者中具有挑战性. 这项案例研究证明了成功地使用IC-ECG在德克斯特罗卡迪患者中插入PICC,突出显示了该技术的有效性.
科学领域:
- 医学成像和诊断 医学成像和诊断
- 心脏病学 心脏病学
- 干预性放射学 干预性放射学
背景情况:
- 周围插入的中央导管 (PICC) 对于长期的静脉接入至关重要.
- 患有先天性疾病的患者,如 situs inversus totalis,在中央静脉接入装置的放置方面存在独特的挑战.
- 内腔心电图 (IC-ECG) 是指导PICC尖端定位的宝贵工具.
研究的目的:
- 报告一个成功的外围插入中央导管 (PICC) 放置使用内腔心电图 (IC-ECG) 引导在一个患者的网站反向总和dextrocardia.
- 为了说明盐溶液技术在复杂解剖学中的实时PICC尖端定位的应用.
- 为了解PICC在镜像患者中的放置提供临床数据.
主要方法:
- 一名59岁的男性患有食道癌和 situs inversus totalis,接受了PICC插入.
- 内心电图 (IC-ECG) 用于引导外围插入的中央导管 (PICC) 尖端到腔-心房结 (CAJ).
- 使用盐水列技术监测P波变化,以实时估计尖端位置.
主要成果:
- 患者患有德克斯托卡迪和网站逆向总体,器官镜像.
- 在没有报告任何不良事件的情况下,PICC插入成功完成.
- 通过IC-ECG指导和盐液列技术,可以准确地定位导管尖端.
结论:
- 以IC-ECG为指导的PICC安置是可行的,甚至在患有复杂先天性异常的患者中也是有效的,例如 situs inversus totalis.
- 精确的尖端定位至关重要,可以在具有挑战性的解剖学中使用IC-ECG监测来实现.
- 这一案例凸显了为专业患者群体适应已有的技术的重要性,并为PICC插入镜像患者的知识体系做出了贡献.
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