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中心静脉分叉尖端血液透析导管的影像学表现令人困惑。

Confusing radiographic appearance of a central venous split-tip hemodialysis catheter.

作者信息

Sarv Priya, Simon Kao C

机构信息

Department of Radiology, University of Iowa Hospitals & Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USA.

出版信息

Radiol Case Rep. 2019 Jan 11;14(3):410-414. doi: 10.1016/j.radcr.2018.12.014. eCollection 2019 Mar.

DOI:10.1016/j.radcr.2018.12.014
PMID:30766646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6360840/
Abstract

Long-term cuffed hemodialysis catheters are being increasingly used in the management of patients with chronic kidney disease. These tunneled catheters are available in different types and characteristics. Patients undergo imaging, primarily chest radiographs to confirm the position of the catheter tip. It is essential to be aware of the normal imaging appearances of these catheters as they may simulate pathological appearance due to the shape of their tips. This knowledge will help avoid misdiagnosis and unnecessary medical interventions.

摘要

长期带 cuff 的血液透析导管在慢性肾脏病患者的管理中使用得越来越多。这些隧道式导管有不同的类型和特点。患者要进行影像学检查，主要是胸部 X 光片，以确认导管尖端的位置。了解这些导管正常的影像学表现很重要，因为其尖端形状可能类似病理表现。这些知识有助于避免误诊和不必要的医疗干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f5d/6360840/bfb2b41407d9/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f5d/6360840/fab593a11500/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f5d/6360840/749ef3bfb482/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f5d/6360840/efbc8205cf2f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f5d/6360840/08274a3b2fe5/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f5d/6360840/bfb2b41407d9/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f5d/6360840/fab593a11500/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f5d/6360840/749ef3bfb482/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f5d/6360840/efbc8205cf2f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f5d/6360840/08274a3b2fe5/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f5d/6360840/bfb2b41407d9/gr5.jpg

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本文引用的文献

1
Tip Design of Hemodialysis Catheters Influences Thrombotic Events and Replacement Rate.血液透析导管的尖端设计会影响血栓形成事件和更换率。
Eur J Vasc Endovasc Surg. 2017 Feb;53(2):262-267. doi: 10.1016/j.ejvs.2016.10.015. Epub 2016 Nov 19.
2
Fistula first breakthrough initiative: targeting catheter last in fistula first.内瘘优先突破计划：以内瘘优先为目标，最后使用导管。
Semin Dial. 2012 May;25(3):303-10. doi: 10.1111/j.1525-139X.2012.01069.x. Epub 2012 Apr 4.
3
Dislocation of a double-lumen tunneled hemodialysis catheter causing dysfunction and bleeding.
双腔带隧道血液透析导管脱位导致功能障碍和出血。
Blood Purif. 2009;27(2):172-3. doi: 10.1159/000190783. Epub 2009 Jan 14.
4
Fourteen years of hemodialysis with a central venous catheter: mechanical long-term complications.使用中心静脉导管进行14年血液透析的机械性长期并发症
J Vasc Access. 2006 Apr-Jun;7(2):60-5. doi: 10.1177/112972980600700204.
5
Clinical practice guidelines for vascular access.血管通路临床实践指南。
Am J Kidney Dis. 2006 Jul;48 Suppl 1:S176-247. doi: 10.1053/j.ajkd.2006.04.029.
6
Long-term management of the tunneled venous catheter.隧道式静脉导管的长期管理
Semin Dial. 2006 Mar-Apr;19(2):158-64. doi: 10.1111/j.1525-139X.2006.00143.x.
7
Catheter access for hemodialysis: an overview.血液透析的导管通路：概述
Semin Dial. 2001 Nov-Dec;14(6):411-5. doi: 10.1046/j.1525-139x.2001.00104.x.