凝血的血液透析通路机械溶栓术后的脑栓塞
Cerebral embolism after mechanical thrombolysis of a clotted hemodialysis access.
作者信息
Briefel G R, Regan F, Petronis J D
机构信息
Department of Medicine, Johns Hopkins-Bayview Medical Center, Baltimore, MD, USA.
出版信息
Am J Kidney Dis. 1999 Aug;34(2):341-3. doi: 10.1016/s0272-6386(99)70365-3.
Abstract
Clinically significant embolic complications after thrombolysis of clotted hemodialysis grafts are uncommon. Most of the concern has focused on the risks associated with pulmonary emboli. We report a case of a hemodialysis patient who developed a cerebral embolism after percutaneous graft thrombolysis who was found to have a patent foramen ovale and intermittent right-to-left shunt.
摘要
凝血的血液透析移植物溶栓后具有临床意义的栓塞并发症并不常见。大多数关注点集中在与肺栓塞相关的风险上。我们报告一例血液透析患者，该患者在经皮移植物溶栓后发生脑栓塞，发现其卵圆孔未闭且存在间歇性右向左分流。
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