Malik Amit Kumar, Bhalla Neeraj, Goel Ashwani, Prakash Sunil
BLK Superspeciality Hospital, Pusa Road, New Delhi, 110005, India.
Cardiovasc Interv Ther. 2016 Apr;31(2):136-9. doi: 10.1007/s12928-015-0327-3. Epub 2015 Mar 21.
Placement of a dialysis catheter substantially increases the risk of central vein stenosis. 52-year-old female with end-stage renal disease and a right brachial-cephalic hemodialysis access presented with right arm swelling. The chronic total occlusion of right brachiocephalic vein was refractory to wire traversal. Sharp recanalization of the central venous occlusion was done with transseptal needle retrogradely. The track was balloon dilated and stented. When the conventional catheters and guide wires options fail, sharp recanalization technique may be used to salvage a precious dialysis access.
放置透析导管会显著增加中心静脉狭窄的风险。一名52岁患有终末期肾病且有右头臂动静脉内瘘用于血液透析的女性出现右臂肿胀。右头臂静脉慢性完全闭塞，导丝难以通过。采用经间隔针逆行对中心静脉闭塞进行锐性再通。对通道进行球囊扩张并置入支架。当传统的导管和导丝方法无效时，可采用锐性再通技术挽救宝贵的透析通路。
