This study aimed to investigate the causes and managements of the fractures and migrations of the implantable venous access port catheter（IVAPC）. The fracture or migration of IVAPC occurred in 4 patients who were tr...This study aimed to investigate the causes and managements of the fractures and migrations of the implantable venous access port catheter（IVAPC）. The fracture or migration of IVAPC occurred in 4 patients who were treated between May 2012 and January 2014 in Union Hospital,Wuhan,China. The port catheter leakage was found in 2 cases during drug infusion. Catheters that dislodged to the superior vena cava and right atrium were confirmed by port angiogram. The two dislodged catheters were successfully retrieved by interventional procedures. Catheter fracture occurred in two cases during port removal. One catheter was eventually removed from the subclavian vein through right clavicle osteotomy and subclavian venotomy,and the other removed by external jugular venotomy. Flushing the port in high pressure and injury of the totally implantable venous access port（TIVP） during implantation are usually responsible for catheter displacement. Interventional retrieval procedure can be used if the catheter dislodges to the vena cava and right atrium. Catheter fracture may occur during removal if clipping syndrome occurs or the catheter is sutured very tight during implantation.展开更多
Longitudinal shear problems of collinear rigid line inclusions (sometimes calledhard crack or inverse crack problems) in anisotropic materials are dealt with. By usingthe conplex variable method, we present the formul...Longitudinal shear problems of collinear rigid line inclusions (sometimes calledhard crack or inverse crack problems) in anisotropic materials are dealt with. By usingthe conplex variable method, we present the formulation of the general problem and the closed form solutions to some problems of practical importance, The atressdistribution in the immediate vicinity of the rigid line end is examined. The corresponding formulation and solutions for isotropic materials can be arrived at fromthe special cases of those in the present paper, some of which are in agreement with the existing results￣[1].展开更多
文摘This study aimed to investigate the causes and managements of the fractures and migrations of the implantable venous access port catheter（IVAPC）. The fracture or migration of IVAPC occurred in 4 patients who were treated between May 2012 and January 2014 in Union Hospital,Wuhan,China. The port catheter leakage was found in 2 cases during drug infusion. Catheters that dislodged to the superior vena cava and right atrium were confirmed by port angiogram. The two dislodged catheters were successfully retrieved by interventional procedures. Catheter fracture occurred in two cases during port removal. One catheter was eventually removed from the subclavian vein through right clavicle osteotomy and subclavian venotomy,and the other removed by external jugular venotomy. Flushing the port in high pressure and injury of the totally implantable venous access port（TIVP） during implantation are usually responsible for catheter displacement. Interventional retrieval procedure can be used if the catheter dislodges to the vena cava and right atrium. Catheter fracture may occur during removal if clipping syndrome occurs or the catheter is sutured very tight during implantation.
文摘Longitudinal shear problems of collinear rigid line inclusions (sometimes calledhard crack or inverse crack problems) in anisotropic materials are dealt with. By usingthe conplex variable method, we present the formulation of the general problem and the closed form solutions to some problems of practical importance, The atressdistribution in the immediate vicinity of the rigid line end is examined. The corresponding formulation and solutions for isotropic materials can be arrived at fromthe special cases of those in the present paper, some of which are in agreement with the existing results￣[1].
