Elwali Abderhmane, Drissi Mohamed, Bensghir Mustapha, Ahtil Redouane, Azendour Hicham, Kamili Nouredine-Drissi
Pole d'anesthésie-réanimation, université Mohamed V Suissi, hôpital militaire Mohamed V, Rabat, Maroc.
Nephrol Ther. 2011 Dec;7(7):562-4. doi: 10.1016/j.nephro.2011.03.008. Epub 2011 May 5.
Central venous catheterisation is a common procedure in intensive care and hemodialysis units. Tunnelled catheters of hemodialysis are a great contribution for patients for whom an arteriovenous fistula is not feasible, especially for prolonged use. However, multiple complications have been described from their practice. Through a case of perforation of the left brachio-cephalic vein with a venous catheter for dialysis and a review of the literature, the authors discuss the mechanisms and ways to prevent this complication.
中心静脉置管是重症监护病房和血液透析单位的常见操作。对于那些无法建立动静脉内瘘的患者，尤其是需要长期使用的患者，带隧道的血液透析导管是一项重大贡献。然而，实践中已描述了多种并发症。通过一例使用静脉导管进行透析导致左头臂静脉穿孔的病例以及文献回顾，作者讨论了该并发症的发生机制及预防方法。
