Selmin KARADEMİR, Filiz ŞENOCAK, Utku Arman ÖRÜN, Vehbi DOĞAN, Özben CEYLAN, Mahmut KESKİN

Percutaneous transvenous removal of an entire detached port catheter by using a snare-loop catheter in a 13-month-old child

Çocuk hastalarda uzun süreli intravenöz tedavi gerektiren durumlarda santral venöz kateter ve port uygulanmaktadır. Yerleştirilmiş olan santral kateter ve parçalarının dolaşım sistemine embolizasyonu nadir, ancak ciddi bir komplikasyondur. Bu gibi durumlarda da kateter ve ilgili parçaların dolaşım sisteminden çıkartılması şarttır. Perkutan transvenöz yol ile, embolize parçaların çıkartılması güvenilir bir tekniktir. Akut myeloblastik lösemi tanısı ile izlenen 13 aylık bir hastada, pulmoner arter içine embolize olmuş kateter parçasının, başarılı bir şekilde transvenöz yol ile geri çıkartılmasını sunduk.

Onüç aylık bir çocukta tam olarak kopmuş port kateterin, transvenöz olarak snare kateter ile çıkartılması

When prolonged intravenous therapy is necessary in children, it is better to insert central venous catheters. Fragmentation or detachment with embolization of these catheters is infrequent, but can cause serious complications. Therefore, in such cases prompt extraction of the misplaced endovascular or intracardiac fragment(s) is mandatory. Percutaneous retrieval is a safe and reliable technique and should be considered as the treatment of choice. We reported successfull retrieval of a totally detached port catheter from the pulmonary artery of a 13-month-old patient with acute myeloblastic leukemia.

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