Extrusion of Port Catheter Fixation Coil into Gastrointestinal Tract Lumen for Intra-arterial Chemotherapy: A Case Report

Jong-Seob Shim
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Abstract

For patients with hepatocellular carcinoma, intra-arterial chemotherapy can be applied as an alternative treatment if there is concern about the occurrence of hepatic failure during transcatheter arterial chemoembolization (TACE) due to main portal vein thrombosis or if the patient does not respond to TACE. Various complications due to the port system for intra-arterial chemotherapy have been reported so far, but no case has been reported in which a coil for port catheter fixation was extruded into the gastrointestinal tract lumen. We report a case of a patient who developed persistent gastrointestinal bleeding after a coil for port catheter fixation was extruded into the gastrointestinal tract lumen.
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动脉内化疗将端口导管固定线圈挤压入胃肠道管腔1例
对于肝细胞癌患者,如果担心经导管动脉化疗栓塞术(transcatheter arterial chemoembolization, TACE)中因门静脉主干血栓形成导致肝功能衰竭,或TACE治疗无应答,则可采用动脉内化疗作为替代治疗。动脉内化疗采用端口系统引起的各种并发症已有报道,但尚未见将端口导管线圈插入胃肠道管腔的病例报道。我们报告一个病例的病人谁发展持续的胃肠道出血后线圈端口固定导管被挤进胃肠道管腔。
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