经股静脉入路套取中心静脉导管体内断管五例经验

The removal of PICC fracture with interventional technique via the femoral vein access: clinical experience in 5 cases

目的探讨经股静脉穿刺套取中央静脉导管（PICC）体内断管的可行性与安全性。方法5例PICC体内断管患者于断管后l～10d经股静脉穿刺．在透视下用鹅颈套圈或网篮导管套取PICC断管。结果5例患者均成功套取出全部PICC体内断管，技术成功率100％，术中患者未诉不适，术后未见并发症。结论经股静脉穿刺人路，利用鹅颈套圈或网篮导管有可能取出PICC体内断管，手术安全、便捷、创伤小，可做为PICC体内断管取出的首选方法。

Objective To investigate the feasibility and safety of interventional technique via the femoral vein access in retrieving the fractured peripherally inserted central catheter （PICC） segment within the vessel Methods Fracture of PICC occurred in five patients. Retrieval of the fractured PICC segment was carried out within 1 - 10 days by using interventional management. Guided by fluoroscopy the fractured PICC segment was retrieved by goose snare or basket catheter. Results The fractured PICC segment within the vessel was successfully removed in all 5 patients, with a success rate of 100%. No major complications occurred during and after the operation. Conclusion The fractured PICC segment within the vessel might be removed by common interventional management via the femoral vein access with the help of goose snare or basket catheter. The interventional procedure is safe, simple and minimally-invasive. Therefore, clinically this method should be regarded as the therapy of first choice.（J Intervent Radiol, 2013, 22： 501-504）