心内瘘：导管相关血流感染的一种罕见并发症。

Intracardiac fistula: an unusual complication of catheter-related blood stream infection.

作者信息

Koratala Abhilash, Aboud Hussain, Gibson Robert, Hamilton Karen K

机构信息

University of Florida, Gainesville, FL 32610, USA.

出版信息

JRSM Open. 2017 Sep 5;8(9):2054270417728230. doi: 10.1177/2054270417728230. eCollection 2017 Sep.

DOI:10.1177/2054270417728230

PMID:28904808

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5588803/

Abstract

In end stage renal disease patients on dialysis, the use of catheter as a vascular access is associated with a significant risk of sepsis compared to an arterio-venous fistula. Our case emphasizes the importance of having high index of suspicion for unusual complications in patients presenting with possible catheter-related blood stream infection and early use of complementary tools such as trans-oesophageal echocardiography whenever applicable.

摘要

在接受透析的终末期肾病患者中，与动静脉内瘘相比，使用导管作为血管通路会带来显著的败血症风险。我们的病例强调了对于可能患有导管相关血流感染的患者出现异常并发症要有高度怀疑指数的重要性，以及在适用时尽早使用经食管超声心动图等辅助工具的重要性。