Akgun S, Ak K, Tugrular S, Civelek A, Isbir C, Arsan S
Marmara University, Faculty of Medicine, Istanbul, Turkey.
Vasa. 2008 Aug;37(3):293-6. doi: 10.1024/0301-1526.37.3.293.
Cuffed tunneled venous access catheters are commonly used for temporary and permanent access in patients undergoing hemodialysis. These catheters play an essential role in providing permanent access in patients in whom all other access options have been exhausted. However, they are prone to several complications like catheter thrombosis, catheter fibrin sheating and infection. Herein, we report two uncommon cases of stuck hemodialysis cuffed tunneled catheters causing stenosis and thrombosis in central veins which needed to be removed by median sternotomy.
带 cuff 的隧道式静脉通路导管常用于接受血液透析患者的临时和永久通路。这些导管在为所有其他通路选择均已用尽的患者提供永久通路方面发挥着重要作用。然而，它们容易出现多种并发症，如导管血栓形成、导管纤维蛋白鞘形成和感染。在此，我们报告两例罕见的血液透析带 cuff 隧道式导管卡住导致中心静脉狭窄和血栓形成的病例，这需要通过正中胸骨切开术取出导管。
