Planinsic Raymond M, Nicolau-Raducu Ramona, Caldwell John C, Aggarwal Shushma, Hilmi Ibtesam
Department of Anesthesiology, University of Pittsburgh Medical Center, Pennsylvania.
Anesth Analg. 2003 Sep;97(3):648-649. doi: 10.1213/01.ANE.0000078581.41596.87.
Venovenous bypass has improved patient survival and decreased morbidity and mortality in the field of orthotopic liver transplantation. The standard at many transplant centers is the use of the internal jugular percutaneous venovenous bypass cannulae (PVVBC) for venous return to the patient. Placement of these large (18F) PVVBC may lead to several complications and requires confirmation before use. Use of transesophageal echocardiography, an effective and rapid method to guide placement of the PVVBC and minimize potential complications associated with insertion of the device, is described.
静脉-静脉转流已提高了原位肝移植领域患者的生存率，并降低了发病率和死亡率。许多移植中心的标准做法是使用颈内静脉经皮静脉-静脉转流插管（PVVBC）来实现患者的静脉回流。放置这些粗大的（18F）PVVBC可能会导致多种并发症，使用前需要确认。本文介绍了经食管超声心动图的应用，这是一种有效且快速的方法，可用于指导PVVBC的放置，并将与该装置插入相关的潜在并发症降至最低。
