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透析导管纤维蛋白鞘剥除术：导管更换失败后的一种有用技术。

Dialysis catheter fibrin sheath stripping: a useful technique after failed catheter exchange.

作者信息

Mohamad Ali Af, Uhwut E, Liew Sk

机构信息

Department of Radiology, Universiti Malaysia Sarawak, Kuching, Malaysia.

出版信息

Biomed Imaging Interv J. 2012 Jan;8(1):e8. doi: 10.2349/biij.8.1.e8. Epub 2012 Jan 1.

DOI:10.2349/biij.8.1.e8
PMID:22970064
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3432227/
Abstract

Fibrin sheath formation around long-term haemodialysis catheter is a common cause of failed dialysis access. Treatment options include pharmacological and mechanical methods. This paper reports a case of failed dialysis access due to fibrin sheath encasement. Pharmacologic thrombolysis, mechanical disruption using guide wire and catheter exchange had failed to address the issue. Eventually, fibrin sheath stripping using the loop snare technique was able to successfully restore the catheter function.

摘要

长期血液透析导管周围形成纤维蛋白鞘是透析通路失败的常见原因。治疗选择包括药物和机械方法。本文报告一例因纤维蛋白鞘包裹导致透析通路失败的病例。药物溶栓、使用导丝进行机械破坏和更换导管均未能解决该问题。最终，使用圈套技术剥除纤维蛋白鞘成功恢复了导管功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cf1/3432227/14d646a434e6/biij-08-e8-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cf1/3432227/594fe7e07ccf/biij-08-e8-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cf1/3432227/14d646a434e6/biij-08-e8-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cf1/3432227/594fe7e07ccf/biij-08-e8-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cf1/3432227/14d646a434e6/biij-08-e8-g02.jpg

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Impact of short-term hemodialysis catheters on the central veins: a catheter venographic study.短期血液透析导管对中心静脉的影响：一项导管静脉造影研究。
Eur J Radiol. 2004 Dec;52(3):293-9. doi: 10.1016/j.ejrad.2003.12.004.
2
Histologic changes in the human vein wall adjacent to indwelling central venous catheters.留置中心静脉导管附近人体静脉壁的组织学变化。
J Vasc Interv Radiol. 2003 Sep;14(9 Pt 1):1163-8. doi: 10.1097/01.rvi.0000086531.86489.4c.
3
Efficacy of percutaneous fibrin sheath stripping in restoring patency of tunneled hemodialysis catheters.
携带植入式静脉输液港的癌症患者计算机断层扫描中纤维蛋白鞘和血栓偶然发现的长期随访及临床相关性
Ther Clin Risk Manag. 2021 Jan 27;17:111-118. doi: 10.2147/TCRM.S287544. eCollection 2021.
4
TuLIP (Tunnelled Line Intraluminal Plasty): An Alternative Technique for Salvaging Haemodialysis Catheter Patency in Fibrin Sheath Formation.经隧道式管路腔内成形术（TuLIP）：挽救纤维蛋白鞘形成时血液透析导管通畅性的一种替代技术。
Cardiovasc Intervent Radiol. 2019 May;42(5):770-774. doi: 10.1007/s00270-019-02189-7. Epub 2019 Mar 1.
5
Thrombotic complications and tip position of transjugular chronic dialysis catheter scheduled into superior vena cava: Findings on HR-MRCP and HR-T2WI.经颈静脉置入上腔静脉的慢性透析导管的血栓并发症及尖端位置：高分辨率磁共振胰胆管造影（HR-MRCP）和高分辨率T2加权成像（HR-T2WI）的研究结果
Medicine (Baltimore). 2017 Jun;96(26):e7135. doi: 10.1097/MD.0000000000007135.
经皮纤维蛋白鞘剥脱术恢复带隧道血液透析导管通畅性的疗效
AJR Am J Roentgenol. 1999 Oct;173(4):1023-7. doi: 10.2214/ajr.173.4.10511171.
4
Percutaneous fibrin sleeve stripping of failing haemodialysis catheters.
Nephrol Dial Transplant. 1999 Mar;14(3):688-91. doi: 10.1093/ndt/14.3.688.