Wang Lin, Liu Zhangsuo, Wang Changan, Liu Dongwei, Yuan Yiqiang
Department of Nephropathy, The First Affiliated Hospital of Zhengzhou University Zhengzhou 450052, China.
Department of Nephropathy, Zhengzhou Cardiovascular Hospital Zhengzhou 450016, China.
Int J Clin Exp Med. 2015 Oct 15;8(10):18543-7. eCollection 2015.
The number of patients requiring chronic hemodialysis via a tunneled cuffed catheter is increasing. The right internal jugular vein (IJV) is generally the preferred site of percutaneous insertion. In certain situations, for example, in patients with a history of multiple access failures, catheterization of the left IJV is an important option. In this report, we present two rare cases of catheter malposition after left IJV catheterization; catheter adjustments, with the help of chest radiographs, resulted in a positive outcome in both cases. These cases exemplify the difficulties associated with left IJV catheterization, of which there are few reports in the published literature.
需要通过带隧道带涤纶套导管进行慢性血液透析的患者数量正在增加。右颈内静脉（IJV）通常是经皮插入的首选部位。在某些情况下，例如有多次血管通路失败史的患者，左颈内静脉置管是一个重要选择。在本报告中，我们介绍了两例左颈内静脉置管后导管位置异常的罕见病例；借助胸部X光片调整导管，两例均取得了良好效果。这些病例说明了左颈内静脉置管存在的困难，而在已发表的文献中对此报道较少。
