胸腔手术中外周置入中心导管自发移入颧静脉并意外横断：病例报告

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing Pub Date : 2024-11-07 DOI:10.1016/j.apjon.2024.100614

Changmin Mao , Yuying Shi , Meixiang Wang , Qian Zhao , Min Ding , Ping Zhu , Wenjie Xia , Liuliu Zhang

{"title":"胸腔手术中外周置入中心导管自发移入颧静脉并意外横断：病例报告","authors":"Changmin Mao , Yuying Shi , Meixiang Wang , Qian Zhao , Min Ding , Ping Zhu , Wenjie Xia , Liuliu Zhang","doi":"10.1016/j.apjon.2024.100614","DOIUrl":null,"url":null,"abstract":"<div><div>This case report presents an incident of spontaneous migration of a peripherally inserted central catheter (PICC) into the azygos vein, leading to accidental transection during surgery. A patient with esophageal cancer had a PICC placed in the left upper arm one day prior to surgery, with the catheter tip confirmed by intracavitary electrocardiogram (IC-ECG) and anterior/lateral chest X-ray imaging. However, during the surgery, the PICC was unintentionally cut when the surgeon isolated and clamped the azygos vein. The surgical team removed the catheter and re-sutured the azygos vein remnant, introducing avoidable risks. This report analyzes the spontaneous migration of the PICC to the azygos vein and explores possible contributing factors to this incident.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"Article 100614"},"PeriodicalIF":2.4000,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Spontaneous migration of a peripherally inserted central catheter into the azygos vein and accidental transection during thoracic surgery: A case report\",\"authors\":\"Changmin Mao , Yuying Shi , Meixiang Wang , Qian Zhao , Min Ding , Ping Zhu , Wenjie Xia , Liuliu Zhang\",\"doi\":\"10.1016/j.apjon.2024.100614\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>This case report presents an incident of spontaneous migration of a peripherally inserted central catheter (PICC) into the azygos vein, leading to accidental transection during surgery. A patient with esophageal cancer had a PICC placed in the left upper arm one day prior to surgery, with the catheter tip confirmed by intracavitary electrocardiogram (IC-ECG) and anterior/lateral chest X-ray imaging. However, during the surgery, the PICC was unintentionally cut when the surgeon isolated and clamped the azygos vein. The surgical team removed the catheter and re-sutured the azygos vein remnant, introducing avoidable risks. This report analyzes the spontaneous migration of the PICC to the azygos vein and explores possible contributing factors to this incident.</div></div>\",\"PeriodicalId\":8569,\"journal\":{\"name\":\"Asia-Pacific Journal of Oncology Nursing\",\"volume\":\"11 12\",\"pages\":\"Article 100614\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2024-11-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Asia-Pacific Journal of Oncology Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2347562524002361\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asia-Pacific Journal of Oncology Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2347562524002361","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

摘要

本病例报告介绍了一起外周置入中心静脉导管（PICC）自发移入颧静脉，导致手术中意外横断的事件。一名食道癌患者在手术前一天在左上臂置入了一根 PICC，导管尖端经腔内心电图（IC-ECG）和前/侧胸部 X 光成像确认。然而，在手术过程中，外科医生在分离和钳夹颧静脉时无意中剪断了 PICC。手术团队拔出导管并重新缝合了颧静脉残余部分，带来了本可避免的风险。本报告分析了 PICC 自发迁移至苄达静脉的情况，并探讨了导致这一事件的可能因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Spontaneous migration of a peripherally inserted central catheter into the azygos vein and accidental transection during thoracic surgery: A case report

This case report presents an incident of spontaneous migration of a peripherally inserted central catheter (PICC) into the azygos vein, leading to accidental transection during surgery. A patient with esophageal cancer had a PICC placed in the left upper arm one day prior to surgery, with the catheter tip confirmed by intracavitary electrocardiogram (IC-ECG) and anterior/lateral chest X-ray imaging. However, during the surgery, the PICC was unintentionally cut when the surgeon isolated and clamped the azygos vein. The surgical team removed the catheter and re-sutured the azygos vein remnant, introducing avoidable risks. This report analyzes the spontaneous migration of the PICC to the azygos vein and explores possible contributing factors to this incident.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊