消失的静脉：一位需要经腰、经肝和经侧支途径插入中心静脉导管的患者面临的静脉穿刺困难。
The vanishing veins: difficult venous access in a patient requiring translumbar, transhepatic, and transcollateral central catheter insertion.
作者信息
Yaacob Yazmin, Zakaria Rozman, Mohammad Zahiah, Ralib Ahmad Razali Md, Muda Ahmad Sobri
机构信息
Department of Radiology, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.
出版信息
Malays J Med Sci. 2011 Oct;18(4):98-102.
Abstract
Central venous catheter placement is indicated in patients requiring long-term therapy. With repeated venous catheterisations, conventional venous access sites can be exhausted. This case illustrates the expanding role of radiology in managing difficult venous access. We present a case of translumbar, transhepatic, and transcollateral placement of central catheter in a woman with a difficult venous access problem who required lifelong parenteral nutrition secondary to short bowel syndrome. This case highlights the technical aspects of interventional radiology in vascular access management.
摘要
中心静脉导管置入适用于需要长期治疗的患者。随着静脉置管的反复进行，传统的静脉穿刺部位可能会用尽。本病例说明了放射学在处理困难静脉通路方面日益扩大的作用。我们报告一例患有困难静脉通路问题的女性患者，因短肠综合征需要终身肠外营养，经腰、经肝和经侧支途径置入中心静脉导管。本病例突出了介入放射学在血管通路管理中的技术要点。
相似文献
1
2
Use of unconventional dialysis access in patients with no viable alternative.在没有可行替代方案的患者中使用非常规透析通路。
Ann Vasc Surg. 2013 Apr;27(3):332-6. doi: 10.1016/j.avsg.2012.04.019. Epub 2012 Sep 19.
3
Management of end-stage central venous access in children referred for possible small bowel transplantation.对可能接受小肠移植的儿童进行终末期中心静脉通路管理。
J Pediatr Gastroenterol Nutr. 2006 Apr;42(4):427-33. doi: 10.1097/01.mpg.0000215311.71040.89.
4
Percutaneous translumbar and transhepatic inferior vena caval catheters for prolonged vascular access in children.经皮腰椎和经肝下腔静脉导管用于儿童长期血管通路
J Pediatr Surg. 1992 Feb;27(2):165-9. doi: 10.1016/0022-3468(92)90305-q.
5
Percutaneous placement of an intercostal central venous catheter for chronic hyperalimentation guided by transhepatic venography.
JPEN J Parenter Enteral Nutr. 2001 Jan-Feb;25(1):42-4. doi: 10.1177/014860710102500142.
6
Transhepatic central venous catheter for long-term access in paediatric patients.经肝中心静脉导管用于儿科患者的长期血管通路
J Pediatr Surg. 2008 Feb;43(2):344-7. doi: 10.1016/j.jpedsurg.2007.10.044.
7
Complex central venous catheter insertion for hemodialysis.用于血液透析的复杂中心静脉导管插入术。
J Vasc Access. 2014;15 Suppl 7:S136-9. doi: 10.5301/jva.5000250. Epub 2014 Apr 18.
8
Unconventional venous access.非常规静脉通路。
Tech Vasc Interv Radiol. 2002 Jun;5(2):114-20. doi: 10.1053/tvir.2002.36049.
9
Placement of a port catheter through collateral veins in a patient with central venous occlusion.经侧支静脉放置中心静脉闭塞患者的端口导管。
Cardiovasc Intervent Radiol. 2010 Apr;33(2):417-20. doi: 10.1007/s00270-009-9613-8. Epub 2009 Jun 6.
10
[Alternate hemodialysis catheterization access in patients with occluded peripheral venous access sites].[外周静脉通路闭塞患者的替代血液透析导管置入通路]
Rofo. 2005 Aug;177(8):1146-50. doi: 10.1055/s-2005-858363.
引用本文的文献
1
Fluoroscopy-guided transhepatic vena cava cannulation with a peripherally inserted central venous catheter in a pediatric patient with difficult central venous access.在一名中心静脉穿刺困难的儿科患者中，使用外周插入中心静脉导管在透视引导下进行经肝腔静脉插管。
J Anaesthesiol Clin Pharmacol. 2023 Apr-Jun;39(2):322-323. doi: 10.4103/joacp.joacp_329_21. Epub 2022 Feb 21.
2
Retrospective outcome analysis of rates and types of complications after 8654 minimally invasive radiological port implantations via the subclavian vein without ultrasound guidance.回顾性分析 8654 例超声引导下锁骨下静脉微创放射科端口植入术后的并发症发生率和类型。
Radiol Med. 2019 Sep;124(9):926-933. doi: 10.1007/s11547-019-01048-2. Epub 2019 Jun 7.
本文引用的文献
1
Transhepatic placement of haemodialysis catheter: A solution for vascular access exhaustion.经肝放置血液透析导管：解决血管通路耗竭的一种方法。
Nephrology (Carlton). 2010 Sep;15(6):661-2. doi: 10.1111/j.1440-1797.2010.01279.x.
2
A retrospective comparative study of tunneled haemodialysis catheters inserted through occluded or collateral veins versus conventional methods.经闭塞或侧支静脉与传统方法置入隧道式血液透析导管的回顾性对比研究。
Cardiovasc Intervent Radiol. 2010 Aug;33(4):744-50. doi: 10.1007/s00270-009-9703-7. Epub 2009 Sep 19.
3
Placement of a port catheter through collateral veins in a patient with central venous occlusion.经侧支静脉放置中心静脉闭塞患者的端口导管。
Cardiovasc Intervent Radiol. 2010 Apr;33(2):417-20. doi: 10.1007/s00270-009-9613-8. Epub 2009 Jun 6.
4
Percutaneous translumbar inferior vena cava cannulation under computed tomography guidance.计算机断层扫描引导下经皮经腰部下腔静脉插管术
Jpn J Radiol. 2009 May;27(4):176-9. doi: 10.1007/s11604-009-0316-5. Epub 2009 Jun 6.
5
Transhepatic catheter access for hemodialysis.经肝置管用于血液透析
Radiology. 2004 Jul;232(1):246-51. doi: 10.1148/radiol.2321030677. Epub 2004 May 20.
6
Placement of hemodialysis catheters through dilated external jugular and collateral veins in patients with internal jugular vein occlusions.在颈内静脉闭塞患者中经扩张的颈外静脉及侧支静脉置入血液透析导管。
AJR Am J Roentgenol. 2000 Feb;174(2):361-2. doi: 10.2214/ajr.174.2.1740361.
7
Translumbar placement of inferior vena caval catheters: a solution for challenging hemodialysis access.经腰部下腔静脉导管置入：解决困难血液透析通路问题的一种方法
Radiographics. 1998 Sep-Oct;18(5):1155-67; discussion 1167-70. doi: 10.1148/radiographics.18.5.9747613.
8
Transhepatic PermCath for hemodialysis.
Am J Kidney Dis. 1994 Oct;24(4):590-1. doi: 10.1016/s0272-6386(12)80218-6.
9
Inferior vena cava: translumbar catheterization for central venous access.下腔静脉：经腰静脉置管用于中心静脉通路。
Radiology. 1989 Sep;172(3 Pt 2):1013-4. doi: 10.1148/172.3.1013.
10
Translumbar inferior vena cava catheters for long-term venous access.用于长期静脉通路的经腰部下腔静脉导管
Radiology. 1990 Jan;174(1):31-5. doi: 10.1148/radiology.174.1.2294571.
Zotero 插件