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이동된 중심정맥도관으로 인한 간헐적 심계항진 환자의 경피적 도관 제거
정혜문 ( Hye Moon Chung ),이광원 ( Kwang Mon Lee ),하지윤 ( Ji Yoon Ha ),김승규 ( Seung Kyu Kim ),윤지영 ( Gi Young Yun ),권혁문 ( Hyuck Moon Kwon ),이병권 ( Byoung Kwon Lee ) 대한내과학회 2013 대한내과학회지 Vol.85 No.2
The totally implantable venous port device is used in patients undergoing chemotherapy. The complications associated with this device include venous thrombosis, infection, catheter fracture, extravasation, and intravascular dislodgement. The incidence of port catheter dislodgement is low. The treatment of choice for port dislocation involves immediate retrieval of the distal migrated part, and percutaneous transcatheter retrieval is regarded as the standard method. A 40-year-old female presented with intermittent palpitation. She was referred from the Department of General Surgery after detection of a fractured and dislocated implantable venous port system into the main pulmonary artery. We successfully retrieved the dislocated fractured device using a -Fr pigtail catheter and snare catheter. We herein report this case with a literature review. (Korean J Med 2013;85:194-198)