Department of Anesthesiology and Pain Medicine, Kyung Hee University College of Medicine, Seoul, Korea.
Korean J Anesthesiol. 2014 Jul;67(1):61-5. doi: 10.4097/kjae.2014.67.1.61. Epub 2014 Jul 29.
We experienced a case of deep vein thrombosis after spine surgery in the prone position with a central venous catheter (CVC). Posterior lumbar interbody fusion was performed on a 73-year-old female patient who was diagnosed with spinal stenosis. Accordingly, in the operation room under general anesthesia, two-lumen CVC were inserted into the left subclavian vein. The surgery was performed in the prone position with a Wilson frame. On the next day, there was a sudden occurrence of severe edema in the patient's left arm. By ultrasonography and computed tomography scanning, extensive deep vein thrombosis was observed in the left subclavian vein. The existence of a factor affecting blood flow such as the prone position may increase the risk of thrombus formation. Therefore, careful perioperative evaluation should be implemented.
我们遇到了一例在俯卧位脊柱手术后并发中心静脉导管(CVC)相关的深静脉血栓形成病例。一名 73 岁女性患者被诊断为椎管狭窄,行后路腰椎椎体间融合术。在手术室全身麻醉下,将双腔 CVC 插入患者左侧锁骨下静脉。手术采用 Wilson 架行俯卧位。次日,患者的左手臂突然出现严重肿胀。超声和 CT 扫描显示,左侧锁骨下静脉广泛深静脉血栓形成。俯卧位等影响血流的因素的存在可能会增加血栓形成的风险。因此,应在围手术期进行仔细评估。