Vehbi DOĞAN, Şeyma KAYALI, İlker ERTUĞRUL, Senem ÖZGÜR, Şeyma ÜNÜVAR, Halil TANRIVERDİ, Utku ÖRÜN, Selmin KARADEMİR

Percutaneous Retrieval Of A Venous Port Catheter Embolizing To Pulmonary Artery With A Snare Loop Catheter; A Case Report And Review Of The Literature

Subcutaneous port catheter systems are widely used with increasing frequency in patients requiring long-term or intermittant infusion therapy. Usage of port systems for a wide variety of indications also leads to well-documented wide spectrum of complications that can be potentially serious. Venous catheter dislodgement and migration is one of the rare complications of venous port implantation, however once diagnosed it must be removal of the catheter is indicated. Percutaneous approach for removal is considered a gold standard treatment because it is a minimally invasive, relatively simple, safe procedure, with low complication rates compared to conventional surgical treatment. In this report we present a 2-year-old girl who had a port catheter implanted because of recurrent intractable seizures and subsequently dislodgement and embolizing of entire catheter, which was removed with a snare-loop catheter via transvenous approach.

Anahtar Kelimeler:

detached port catheter, embolization, snare-loop catheter, child

Pulmoner Artere Embolize Olan Venöz Port Kateterinin Perkutan Yolla Çıkarılması; Olgu Sunumu Ve Literatürün Gözden Geçirilmesi

Subkutanöz port kateter sistemleri uzun sureli vaya aralıklı infüzyon tedavi gereksinimi olan hastalarda giderek artan sıklıkta uygulanmaya başlamıştır. Farklı endikasyonlarla port sistemi kullanımının, aynı zamanda potansiyel olarak ciddi olabilecek birçok komplikasyona yol açtığı bildirilmiştir. Kateterin ayrılması ve embolizasyonu nadir görülen bir komplikasyon olmakla birlikte, tanısı konulduğunda kateterin çıkarılması gerekmektedir. Perkutanöz yaklaşım, minimal invavif, basit, güvenli ve konvansiyonel cerrahi seçeneklere gore daha düşük komplikasyon oranlarına sahip olduğundan altın standard tedavi yöntemi olarak kabul edilmektedir. Bu makalede tekrarlayan dirençli nöbetleri olması nedeniyle port kateteri takılan, takibinde kateterde ayrılma ve embolizasyon gelişmesi nedeniyle kateteri transvenöz yolla çıkarılan 2 yaşında bir kız hasta sunulmuştur.

Keywords:

ayrılmış port kateter, embolizasyon, snareloop kateter, çocuk,

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