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血液透析导管插入术后颈静脉-乳腺动脉瘘:病例报告

Jugular vein-mammary artery fistula after catheterism for hemodialysis: case report.

作者信息

Colì L, Donati G, Galaverni M C, Golfieri R, Raimondi C, Cianciolo G, Comai G, Piccari M, Rossi C, Stefoni S

机构信息

Nephrology Dialysis and Renal Transplantation Unit, S. Orsola University Hospital, Bologna, Italy.

出版信息

J Vasc Access. 2007 Apr-Jun;8(2):115-9.

Abstract

The demographic characteristics of hemodialysis (HD) patients increase the need for the tunneled cuffed permanent catheter (TCC) as a definitive vascular access (VA) for HD. The internal jugular vein is increasingly being used as a route for TCC or temporary catheter placement and can be associated with serious complications. Among them other authors have described arteriovenous fistula (AVF) creation between the common carotid artery and the right jugular vein. We describe a case of an AVF between the right internal jugular vein and the right internal mammary artery. The fistula was detected during the TCC placement in a patient who underwent several jugular and subclavian catheterisms for HD in her clinical history.

摘要

血液透析(HD)患者的人口统计学特征增加了对带隧道带涤纶套永久导管(TCC)作为HD最终血管通路(VA)的需求。颈内静脉越来越多地被用作TCC或临时导管置入的途径,并且可能与严重并发症相关。其中,其他作者描述了颈总动脉和右颈静脉之间动静脉内瘘(AVF)的形成。我们描述了一例右颈内静脉与右乳内动脉之间的AVF病例。该瘘是在一名有多次颈内静脉和锁骨下静脉置管进行HD病史的患者进行TCC置管时发现的。

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