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一种危险的纠葛。

A dangerous entanglement.

作者信息

Elias Rosilene M, Pedreira Alexandre B, Macedo Etienne, Chan Christopher T

机构信息

Division of Nephrology, University of Sao Paulo School of Medicine, São Paulo, SP, Brazil.

出版信息

Hemodial Int. 2011 Jul;15(3):424-6. doi: 10.1111/j.1542-4758.2011.00567.x. Epub 2011 Jun 23.

Abstract

Entrapment of guidewires by inferior vena cava filters can occur during the blind insertion of a jugular or a subclavian central venous catheter. Recently, few case reports have been published in the radiology literature. In addition, others have described endovascular techniques aimed at removing entrapped guidewires, avoiding the possibility of vena cava rupture. Given that a temporary hemodialysis venous catheter is frequently used as a first access, the possibility of entrapping the dialysis catheter guidewire should not be neglected.

摘要

在颈内静脉或锁骨下静脉中心静脉导管盲目插入过程中,下腔静脉滤器可能会导致导丝被困。最近,放射学文献中发表了几例病例报告。此外,还有人描述了旨在取出被困导丝的血管内技术,以避免腔静脉破裂的可能性。鉴于临时血液透析静脉导管经常被用作首选通路,透析导管导丝被困的可能性不应被忽视。

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