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浆液性渗漏,聚四氟乙烯移植物的一种罕见并发症:病例报告。

Serous leak, a rare complication of polytetrafluoroethylene grafts: a case report.

作者信息

Thevendran Gowreeson, Lord Rozanne, Sarraf Khaled M

机构信息

Department of Surgery, Hillingdon Hospital, Pield Heath Road, Uxbridge, Middlesex, London UB8 3NN, UK.

出版信息

Cases J. 2009 Nov 17;2:195. doi: 10.1186/1757-1626-2-195.

DOI:10.1186/1757-1626-2-195
PMID:19946503
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2783148/
Abstract

Perigraft seroma is a rare complication of polytetrafluoroethylene grafts especially in the lower limb. It is often difficult to treat and recurrence is common. We present a case of a young woman who sustained a persistent perigraft seroma following a polytetrafluoroethylene graft in the proximal thigh, which was implanted as an alternative to an arteriovenous fistula. The cause was not ascertained and this was eventually treated by complete removal of the graft. This case highlights an unusual complication of polytetrafluoroethylene grafts that are commonly used in vascular access surgery, which can be challenging to treat.

摘要

移植血管周围血清肿是聚四氟乙烯移植物的一种罕见并发症,尤其是在下肢。它通常难以治疗且复发很常见。我们报告一例年轻女性病例,该患者在大腿近端植入聚四氟乙烯移植物后出现持续性移植血管周围血清肿,该移植物是作为动静脉内瘘的替代物植入的。病因未明确,最终通过完全移除移植物进行治疗。该病例突出了血管通路手术中常用的聚四氟乙烯移植物的一种不寻常并发症,这种并发症治疗起来可能具有挑战性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af2/2783148/4558bc57b64c/1757-1626-2-195-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af2/2783148/770e9eb183e9/1757-1626-2-195-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af2/2783148/b02abf4ff797/1757-1626-2-195-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af2/2783148/4558bc57b64c/1757-1626-2-195-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af2/2783148/770e9eb183e9/1757-1626-2-195-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af2/2783148/b02abf4ff797/1757-1626-2-195-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af2/2783148/4558bc57b64c/1757-1626-2-195-3.jpg

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Perigraft Seroma Presenting as Discharging Sinus and Spontaneous Exteriorization of Vascular Graft - A Rare Entity Following Vascular Repair with PTFE Graft.表现为引流窦道及血管移植物自发外置的移植周围血清肿——一种罕见的PTFE移植物血管修复术后情况
J Clin Diagn Res. 2015 Sep;9(9):PD15-6. doi: 10.7860/JCDR/2015/12845.6470. Epub 2015 Sep 1.

本文引用的文献

1
A comparison between PTFE and denatured homologous vein grafts for haemodialysis access: a prospective randomised multicentre trial. The SMASH Study Group. Study of Graft Materials in Access for Haemodialysis.聚四氟乙烯与变性同种异体静脉移植物用于血液透析通路的比较:一项前瞻性随机多中心试验。SMASH研究组。血液透析通路中移植物材料的研究。
Eur J Vasc Endovasc Surg. 1998 Aug;16(2):126-32. doi: 10.1016/s1078-5884(98)80153-6.
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An evaluation of expanded polytetrafluoroethylene (PTFE) loop grafts in the thigh as vascular access for haemodialysis in patients with access problems.对大腿部膨体聚四氟乙烯(PTFE)环型移植物作为血管通路问题患者血液透析血管通路的评估。
Ann R Coll Surg Engl. 1988 Jul;70(4):243-5.
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Vascular access: concepts for the 1990s.
血管通路:20世纪90年代的概念
J Am Soc Nephrol. 1992 Jul;3(1):1-11. doi: 10.1681/ASN.V311.