Chaitowitz I, Heng R, Bell K
Radiology Department, Western Hospital, Melbourne, Victoria, Australia.
Australas Radiol. 2006 Apr;50(2):132-5. doi: 10.1111/j.1440-1673.2006.01556.x.
Imaging-guided insertion of central venous catheters, either in the form of a peripherally inserted central catheter (PICC) or through a subclavian or a jugular approach, is becoming the preferred method of acquiring long-term venous access for a variety of therapeutic purposes. The most significant complication from central venous catheters is thrombosis of the catheterized vein. Venous thrombosis related to the insertion of PICC lines is conventionally treated with line removal followed by anticoagulation. Direct thrombolysis with urokinase, using the lumen of the PICC line to facilitate the insertion of the infusion catheter is a simple, safe and effective treatment option. In this article, we describe our experience with this procedure and the technique used.
影像引导下置入中心静脉导管，无论是经外周静脉穿刺中心静脉置管（PICC）的形式，还是通过锁骨下或颈内静脉途径，正成为出于各种治疗目的获取长期静脉通路的首选方法。中心静脉导管最严重的并发症是置管静脉血栓形成。与PICC置管相关的静脉血栓形成传统上采用拔除导管后抗凝治疗。利用PICC导管腔便于插入溶栓导管，使用尿激酶进行直接溶栓是一种简单、安全且有效的治疗选择。在本文中，我们描述了我们在该操作及所使用技术方面的经验。
