Friedman Allon N, Butty Sabah D
Department of Medicine , Indiana University School of Medicine , Indianapolis, IN 46202 , USA.
Department of Radiology , Indiana University School of Medicine , Indianapolis, IN 46202 , USA.
NDT Plus. 2010 Oct;3(5):465-7. doi: 10.1093/ndtplus/sfq112. Epub 2010 Jun 22.
Translumbar catheters offer an alternative life-saving option in patients without conventional dialysis access, though their use and complication rates are poorly understood. We report the first case in the medical literature of a translumbar catheter inducing a central venous stenosis. This occult sequela converted what is usually a subclinical complication from an arteriovenous graft thrombectomy into a life-threatening one. This unusual clinical presentation highlights the need for clinicians to recognize the potential serious implications of translumbar catheter-induced occult central venous stenosis.
经腰静脉置管为没有传统透析通路的患者提供了一种挽救生命的替代选择，尽管其使用情况和并发症发生率仍知之甚少。我们报告了医学文献中首例经腰静脉置管导致中心静脉狭窄的病例。这种隐匿性后遗症将动静脉移植物血栓切除术通常的亚临床并发症转变为危及生命的并发症。这种不寻常的临床表现凸显了临床医生认识经腰静脉置管引起的隐匿性中心静脉狭窄潜在严重后果的必要性。
