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腹股沟区医源性动静脉瘘表现为心力衰竭。

Iatrogenic arteriovenous fistula in the groin presenting as cardiac failure.

作者信息

Thavarajan Devan, Bakran Ali

机构信息

Regional Vascular Surgical Unit , Royal Liverpool University Hospital , Liverpool , UK.

出版信息

NDT Plus. 2009 Feb;2(1):46-8. doi: 10.1093/ndtplus/sfn190. Epub 2008 Dec 15.

DOI:10.1093/ndtplus/sfn190
PMID:25949285
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4421475/
Abstract

A patient presented with cardiac failure and investigations revealed a right femoral arteriovenous fistula (AVF) 5 weeks after the insertion of a femoral dialysis catheter for haemodialysis. No ultrasound had been used for catheter insertion. The iatrogenic AVF was repaired, and her episodes of cardiac failure ceased. It is recommended that femoral dialysis catheters are inserted using ultrasound guidance to avoid inadvertent arterial puncture.

摘要

一名患者出现心力衰竭，检查发现其在插入用于血液透析的股静脉透析导管5周后出现右股动静脉瘘（AVF）。导管插入时未使用超声引导。医源性动静脉瘘得到修复，其心力衰竭发作停止。建议在超声引导下插入股静脉透析导管，以避免意外动脉穿刺。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7c2/4421475/017157bc8d7c/sfn190fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7c2/4421475/ca4bb6557051/sfn190fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7c2/4421475/f3c5b3be898e/sfn190fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7c2/4421475/017157bc8d7c/sfn190fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7c2/4421475/ca4bb6557051/sfn190fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7c2/4421475/f3c5b3be898e/sfn190fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7c2/4421475/017157bc8d7c/sfn190fig3.jpg

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Spontaneous arteriovenous fistulas of the lower extremities: angiographic demonstration in five patients with peripheral vascular disease.下肢自发性动静脉瘘：5例周围血管疾病患者的血管造影显示
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