导线陷入奇亚里网络:中央静脉端口插入过程中的严重并发症
Asako Kuhara1,2, Yasunori Arai2, Yohei Takei2
1Department of Radiology, Kurume University School of Medicine, Japan.
Interventional radiology (Higashimatsuyama-shi (Japan)
|September 8, 2025
概括
一个J形的导线在中央静脉端口的放置过程中纠在Chiari网络中. 导线成功被移除,患者在整个手术过程中保持无症状.
科学领域:
- 干预性放射学 干预性放射学
- 血管外科 血管外科
背景情况:
- 中心静脉端口安置是需要长期静脉接入的患者的常见手术.
- 导线操纵过程中,虽然很少发生并发症,但可能会发生并发症.
研究的目的:
- 报告一个罕见的指导电线在中央静脉端口插入过程中陷入奇亚里网络的案例.
- 强调小心操纵导线和识别潜在的解剖变异的重要性.
主要方法:
- 超声导向的关节下静脉接入.
- 在光学指导下将导线插入上腔静脉.
- 引导线阻力和陷的管理.
主要成果:
- 一个J形的导线被困在右前庭内的奇亚里网络中.
- 导线成功被移除,尽管存在很大的阻力.
- 在手术期间和之后,患者仍然没有症状.
结论:
- 在奇亚里网络中捕获导线是一种罕见但可能的并发症.
- 通过谨慎的技术,可以成功地移除陷入的导线.
- 对于干预程序来说,意识到像奇亚里网络这样的解剖学变异至关重要.
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