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Percutaneous Retrieval of an Intravascular Catheter Embolus

중심정맥 도관 분절에 의한 폐동맥내 이물질의 심도자를 통한 제거 1예

  • Ham, Yeong Hee (Department of Internal Medicine, Daedong Hospital) ;
  • Jeong, Seong Kyu (Department of Internal Medicine, Daedong Hospital) ;
  • Jo, Jin Hyuk (Department of Internal Medicine, Daedong Hospital) ;
  • Sin, Yeong Sin (Department of Internal Medicine, Daedong Hospital) ;
  • Sim, Eun Hee (Department of Internal Medicine, Daedong Hospital) ;
  • Park, Min Gyu (Department of Internal Medicine, Daedong Hospital) ;
  • Kim, Byung Soo (Department of Internal Medicine, Daedong Hospital)
  • Published : 2012.11.01

Abstract

Intravascular catheter embolism is common and the most important complication of subclavian catheterization. The catheter fragment can lead to pulmonary embolism, vascular perforation, sepsis, arrhythmia, and even death. The intravascular foreign body can be removed using surgical or non-surgical methods. With technological advances, the percutaneous retrieval of intravascular foreign bodies has become a relatively common procedure. A commonly used method for retrieving intravascular foreign bodies is the loop snare. Sometimes biopsy forceps can be used. We experienced a case of non-surgical retrieval of an intravascular foreign body. We used the standard loop snare technique to remove a 5-cm catheter fragment from the left pulmonary artery.

진행성 위암 수술 후 항암 치료를 위해 우쇄골하 정맥을 통한 중심정맥 삽입 후 카테터 도관의 위치 이상과 기능 이상으로 카테터 도관을 교체하는 과정에서 카테터 분절의 일부가 떨어져나가 좌 폐엽동맥에 위치해 있어 이를 loop snare를 이용한 경피적 혈관 중재술을 통해 합병증 없이 성공적으로 제거한 1예를 경험하였기에 보고하는 바이다.

Keywords

References

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