S.-F. Ko , C.-K. Sun , C.-T. Kung , S.-H. Ng , C.-C. Huang
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引用次数: 1
Abstract
Introduction
Fragmented central venous access device (CVAD) catheters can be retrieved percutaneously but a pertinent approach for catheters in various locations has not been addressed.
Report
Comparing 14 fragmented CVAD catheters managed with direct snaring with 35 catheters treated by a modified protocol with repositioning of intrapulmonary or intracardiac catheters (21/35 cases) to the inferior vena cava before snaring, the latter group had a shorter fluoroscopic time (23.0 ± 10.6 vs. 11.0 ± 4.0 min, P = 0.005) and less chest symptoms (42.8% vs. 8.7%, P = 0.011).
Conclusion
Fragmented CVAD catheters managed with a modified protocol with repositioning before snaring are feasible with reductions in fluoroscopic time and chest symptoms.
碎片化中心静脉通路装置(CVAD)导管可以经皮取出，但在不同位置的导管的相关方法尚未得到解决。报告:将14根断片CVAD导管直接捕集与35根经改进方案将肺内或心内导管重新定位至下腔静脉(21/35例)进行比较，后者的透视时间更短(23.0±10.6 vs 11.0±4.0 min, P = 0.005)，胸部症状更少(42.8% vs 8.7%， P = 0.011)。结论采用改良方案在穿刺前重新定位破碎CVAD导管是可行的，可减少透视时间和胸部症状。
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