Gökalp ALTUN, Ömer GEDİKLİ, Ahmet Coşkun ÖZDEMİR, Hasan MUTLU

Perkütan snare teknik ile sağ atriyumdan yabancı cismin çıkarılması: Kırılmış, tamamen implante edilebilir venöz erişim portu

Tamamen implante edilebilir venöz erişim portları, kritik hastaların bakımında majör damar erişimini sağlamak amacıyla sıklıkla kullanılan araçlardır. Hem hastalar hem de sağlık çalışanları için önemli avantajları vardır. Bu araçlar, nadiren hasara neden olur. Deneyimli ekiplerin elinde kullanımları kolaydır. Bu yazıda, kırılmış, tamamen implante edilebilir venöz erişim port kateteri sağ atriyumun distaline doğru kaymış olan bir olgu sunuldu. Kalp içindeki kısım, herhangi bir komplikasyon olmaksızın, sağ atriyumdan perkütan snare tekniği ile başarılı bir şekilde çıkarıldı. Sonuç olarak, kalp içindeki yabancı cisimlerin veya tıbbi cihazların perkütan snare tekniği ile çıkarılması, deneyimli girişimsel kardiyoloji uzmanlarından oluşan bir ekip tarafından yapıldığında, en güvenli ve rahat yöntemdir.

Removal of foreign body in right atrium with percutaneous snare technique: a fractured, totally implantable venous access port

Totally implantable venous access ports for providing major vascular access are widely used instruments in the care of critically-ill patients. They offer important advantages for both patients and healthcare personnel. These instruments rarely cause injuries. Their insertion is simple in the hand of experienced teams. Herein, we present a case in whom a fractured, totally implantable venous access port catheter was distally migrated in the right atrium. Intracardiac fragment was successfully removed from the right atrium by percutaneous snare technique without any complications. In conclusion, removal of intracardiac foreign bodies or medical devices with percutaneous snare technique is the most reliable and comfortable method, when performed by an experienced team consisting of interventional cardiologists.

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