nodgoРоссийский журнал детской гематологии и онкологии (РЖДГиО)Russian Journal of Pediatric Hematology and Oncology2311-12672413-5496LTD “Graphica”10.21682/2311-1267-2022-9-3-93-98nodgo-863Research ArticleКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCLINICAL CASESНехирургическое извлечение трудноудаляемого периферически имплантируемого центрального венозного катетера: клиническое наблюдениеNon-surgical remove of hard-to-remove peripherally inserted central venous catheter: case reporthttps://orcid.org/0000-0002-5113-9569ЧеркашинМ. А.CherkashinM. A.

Михаил Александрович Черкашин, врач-хирург, заместитель главного врача по медицинской части

194354, Санкт-Петербург, ул. Есенина, 1, корп. 3

Surgeon, Associate Chief Medical Officer

Bldg. 3, 1 Yesenin St., Saint Petersburg, 194354

mc@ldc.ruhttps://orcid.org/0000-0003-1762-8729ВалиеваФ. М.ValievaF. M.

врач-анестезиолог-реаниматолог отделения анестезиологии и реанимации

194354, Санкт-Петербург, ул. Есенина, 1, корп. 3

Anesthesiologist Department of Anesthesiology and Intensive care unit

Bldg. 3, 1 Yesenin St., Saint Petersburg, 194354

valieva@ldc.ruhttps://orcid.org/0000-0002-4429-5723АлександровС. В.AlexandrovS. V.

врач-детский хирург отделения детской онкологии

194354, Санкт-Петербург, ул. Есенина, 1, корп. 3

Pediatric Surgeon Department of Pediatric Oncology

Bldg. 3, 1 Yesenin St., Saint Petersburg, 194354

alexandrov.s.v@ldc.ruhttps://orcid.org/0000-0003-3293-0061БойкоК. Ф.BoikoK. F.

врач-детский онколог, заведующий отделением детской онкологии

194354, Санкт-Петербург, ул. Есенина, 1, корп. 3

Pediatric Oncologist, Head of the Department of Pediatric Oncology

Bldg. 3, 1 Yesenin St., Saint Petersburg, 194354

boiko@ldc.ruhttps://orcid.org/0000-0002-3559-561XРомановаВ. А.RomanovaV. A.

врач-детский онколог отделения детской онкологии

194354, Санкт-Петербург, ул. Есенина, 1, корп. 3

Pediatric Oncologist Department of Pediatric Oncology

Bldg. 3, 1 Yesenin St., Saint Petersburg, 194354

romanova.v.a@ldc.ruhttps://orcid.org/0000-0003-1601-8398БикуловВ. Р.BikulovV. R.

врач-нейрохирург, врач-детский хирург отделения детской онкологии

194354, Санкт-Петербург, ул. Есенина, 1, корп. 3

Neurosurgeon Department of Pediatric Oncology

Bldg. 3, 1 Yesenin St., Saint Petersburg, 194354

bikulov@ldc.ruhttps://orcid.org/0000-0001-7337-2495НиколаевА. А.NikolaevA. A.

врач-анестезиолог-реаниматолог, заведующий отделением анестезиологии и реанимации

194354, Санкт-Петербург, ул. Есенина, 1, корп. 3

Anesthesiologist, Head of the Department of Anesthesiology and Intensive care unit

Bldg. 3, 1 Yesenin St., Saint Petersburg, 194354

nikolaev@ldc.ruhttps://orcid.org/0000-0001-9772-4387БерезинаН. А.BerezinaN. A.

к.м.н., врач-рентгенолог, главный врач

194354, Санкт-Петербург, ул. Есенина, 1, корп. 3

Cand. of Sci. (Med.), Radiologist, Head Doctor

Bldg. 3, 1 Yesenin St., Saint Petersburg, 194354

berezina@ldc.ruООО «Лечебно-диагностический центр Международного института биологических систем имени Сергея Березина»РоссияDiagnostic and Treatment Center of International Institution for Biological Systems named after Sergey BerezinRussian Federation202209112022939398Copyright © Черкашин М.А., Валиева Ф.М., Александров С.В., Бойко К.Ф., Романова В.А., Бикулов В.Р., Николаев А.А., Березина Н.А., 20222022Черкашин М.А., Валиева Ф.М., Александров С.В., Бойко К.Ф., Романова В.А., Бикулов В.Р., Николаев А.А., Березина Н.А.Cherkashin M.A., Valieva F.M., Alexandrov S.V., Boiko K.F., Romanova V.A., Bikulov V.R., Nikolaev A.A., Berezina N.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.nodgo.org/jour/article/view/863

Периферически имплантируемые центральные катетеры (PICC – peripherally inserted central catheters) представляют собой устройства постоянного венозного доступа, которые широко используются в детской онкологии. После завершения лечебной программы PICC необходимо удалять и в некоторых случаях встречаются технические сложности различного характера, которые принято обозначать как трудноудаляемый, или hard-to-removal, или non-removable, катетер. В статье представлено описание клинического случая успешного нехирургического извлечения PICC со сформировавшимся фибриновым чулком.

A peripherally inserted central catheter (PICC) line allows permanent vascular access and is widely used in pediatric oncology. In patients, who fully completed antitumor treatment, the PICC line should be removed. In some cases, however, the procedure may be complicated and such a catheter is then called a ‘hard-to-remove’ or a ‘non-removable’. This article describes a clinical case of successful non-surgical removal of a PICC line with a developed fibrin sheath.

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The authors declare that there are no conflicts of interest present.