直近一年間の累計
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ID 110226
タイトルヨミ
ショウカキ ガン ノ カガク リョウホウチュウ ニ ショウジタ pinch-off syndrome ノ 3ショウレイ
タイトル別表記
Three cases of pinch-off syndrome
著者
開野, 友佳理 JA 徳島厚生連阿南共栄病院消化器病センター
安藤, 道夫 JA 徳島厚生連阿南共栄病院消化器病センター
井川, 浩一 JA 徳島厚生連阿南共栄病院消化器病センター
キーワード
pinch-off syndrome
Implanted central venous catheter port
資料タイプ
学術雑誌論文
抄録
Recently Implanted central venous catheter ports(CV ports)are more commonly used inpatients with cancer when long-term venous access is needed for the administration of chemotherapy,antibiotics and nutritional support. Pinch-off syndrome occurs when chronic compressionforces between the clavicle and the first rib. We report three patients with pinch-off syndrome.Case 1 : Two months after placement, the chest radiograph showed grade 2 pinch-off sign. Case 2 :Two months after placement, the chest CT showed complete transection of the catheter at thelevel of the clavicle. The distal fragment was in the hepatic vein, the inferior vena cava and theright atrium. Case 3 : A palpable mass was noticed below the right clavicle when the port wasaccessed. The chest radiograph showed grade 2 pinch-off sign. Removing the catheter, it wasfractured. The distal fragment was in the superior vena cava. Six months after replacement,complete transection of the catheter was occurred. The distal fragment was in the right ventricle.All this distal fragment of the catheter could be retrieved percutaneously with a transvenous snare.Pinch-off syndrome is the potential for serious complication, we study how to prevent pinch-offsyndrome.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
64
1-2
開始ページ
57
終了ページ
61
並び順
57
発行日
2008-04-25
フルテキストファイル
言語
jpn
著者版フラグ
出版社版