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颈动静脉瘘与脑血管梗死:一例颈内静脉置管后医源性并发症的病例报告

Carotid-jugular arteriovenous fistula and cerebrovascular infarct: a case report of an iatrogenic complication following internal jugular vein catheterization.

作者信息

Bahcebasi Sami, Kocyigit Ismail, Akyol Lutfi, Unal Aydin, Sipahioğlu Murath H, Oymak Oktay, Utas Cengiz

机构信息

Department of Internal Medicine Department of Nephrology, Erciyes University Medical School, Kayseri, Turkey.

出版信息

Hemodial Int. 2011 Apr;15(2):284-7. doi: 10.1111/j.1542-4758.2010.00525.x. Epub 2011 Jan 14.

Abstract

Central venous catheterization is frequently performed for perioperative management and long-term intravenous access. Although complications associated with central venous catheter insertion have been widely reported, there are few reports of carotid-jugular arteriovenous fistula formation. Endovascular procedures are associated with a risk of immediate and delayed thromboembolic and ischemic complications. We describe a case of a carotid-jugular arteriovenous fistula and a cerebrovascular infarct following the insertion of a double-lumen catheter for hemodialysis access. We provide recommendations for the prevention and the early detection of this iatrogenic complication.

摘要

中心静脉置管常用于围手术期管理和长期静脉通路。尽管与中心静脉导管插入相关的并发症已被广泛报道,但颈动脉 - 颈静脉动静脉瘘形成的报道却很少。血管内操作存在即时和延迟血栓栓塞及缺血性并发症的风险。我们描述了一例在插入用于血液透析通路的双腔导管后发生颈动脉 - 颈静脉动静脉瘘和脑血管梗死的病例。我们提供了关于预防和早期发现这种医源性并发症的建议。

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