J Res Med Sci
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Case Reports
Percutaneous retrieval of an intracardiac central venous port fragment using snare with triple loops.
Peripherally inserted venous ports fracture with embolization in patients who received chemotherapy is a serious and rare complication, and few cases have been reported in children. We report a successful endovascular technique using a snare for retrieving broken peripherally inserted venous ports in a child for chemotherapy. Catheter fragments may cause complications such as cardiac perforation, arrhythmias, sepsis, and pulmonary embolism. ⋯ The procedure was performed under ketamine and midazolam anesthesia and fluoroscopic guidance using a percutaneous femoral vein approach. A snare with triple loops (10 mm in diameter) was used to successfully retrieve the catheter fragments without any complication. Percutaneous transcatheter retrieval of catheter fragments is occasionally extremely useful and should be considered by interventional cardiologists for retrieving migrated catheters and can be chosen before resorting to surgery, which has potential risks related to thoracotomy, cardiopulmonary bypass, and general anesthesia.
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For the first time we tested an association between the human multidrug resistance gene 1 (MDR1) polymorphisms (SNPs) and idiopathic pulmonary fibrosis (IPF). Several MDR1 polymorphisms are associated with pathologies in which they modify the drug susceptibility and pharmacokinetics. ⋯ There are 50 known MDR1 SNPs, and their role is explored in terms of the effectiveness of drug therapy. We consider our small-scale preliminary study as a starting point for further research.
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Tissue expanders are devices which are used to create enough skin to form suitable flap in restoration of great skin deficiencies which are not modified initially. The current study aimed at investigating the patients' satisfaction and the complications such as rupture, hematoma, wound infection, seroma, leakage, chronic pain, and expander expose of internal (implanted under the skin) and external (implanted outside) ports. ⋯ Although internal port has favorite appearance; however, some complications such as skin infection due to frequent injection, pain rate are higher than external port lead to its more acceptability by the patients.