https://scholars.lib.ntu.edu.tw/handle/123456789/312986
標題: | Spontaneous migration of a Port-A-Cath catheter into ipsilateral jugular vein in two patients with severe cough | 作者: | Wu, Pei-Yu YU-CHANG YEH CHI-HSIANG HUANG Lau, Hon-Ping HUEI-MING YEH |
公開日期: | 2005 | 卷: | 19 | 期: | 5 | 起(迄)頁: | 734-736 | 來源出版物: | Annals of Vascular Surgery | 摘要: | Port-A-Cath systems are widely used for long-term therapy in the treatment of malignancies and infection. Spontaneous migration of Port-A-Cath catheters after satisfactory initial placement is uncommon but is associated with a number of complications, including neck pain, shoulder pain, ear pain, infection, venous thrombosis, and neurological complications. We describe two cases of migration of the Port-A-Cath catheter into the ipsilateral internal jugular vein. Both received surgical reposition of the catheter with a longer one. We speculate that the migration is related to severe cough and vigorous changes of intrathoracic pressure. We also review the literature regarding such unusual complications of Port-A-Cath. Because catheter migration might be asymptomatic, monitoring the catheter position bimonthly when not used is recommended. Before a new course of chemotherapy or encountering symptoms of migration, obtaining a chest roentgenogram is essential to provide early detection and repositioning management of a migrated catheter. ? Annals of Vascular Surgery Inc. |
URI: | http://www.scopus.com/inward/record.url?eid=2-s2.0-24044444607&partnerID=MN8TOARS http://scholars.lib.ntu.edu.tw/handle/123456789/312986 |
DOI: | 10.1007/s10016-005-4638-1 | SDG/關鍵字: | aged; article; cancer chemotherapy; case report; coughing; disease severity; human; implantation; intravenous catheter; jugular vein; male; priority journal; subclavian vein; surgical technique; thorax pressure; thorax radiography |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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