• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

导管插入术后伴纵隔病变的中心静脉穿孔的治疗策略

Therapeutic strategy of central vein perforation accompanied by a mediastinal lesion after catheterization.

作者信息

Li Chi-Chang, Zhang Wei, Wu Xing-Jie, Bu Yang, Zheng Zhi-Peng

机构信息

Cardiovascular Department, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, Guangdong, China.

出版信息

J Int Med Res. 2019 Jun;47(6):2702-2708. doi: 10.1177/0300060519843686. Epub 2019 Apr 21.

DOI:10.1177/0300060519843686
PMID:31006299
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6567695/
Abstract

Central vein perforation associated with a mediastinal lesion is a rare complication of catheterization. A 50-year-old woman was diagnosed with chronic kidney disease and required hemodialysis treatment. The patient developed central vein injury during attempted placement of a double-channel catheter. A computed tomographic scan and venography showed that the catheter had punctured the mediastinum from the central vein. After comprehensive assessment and multidisciplinary consultation, percutaneous catheter thrombin injection with follow-up balloon dilatation under fluoroscopy guidance successfully fixed the perforation. We summarize the therapeutic strategy of this complication and other treatment options, and discuss the related literature of central vein injury.

摘要

与纵隔病变相关的中心静脉穿孔是一种罕见的导管插入术并发症。一名50岁女性被诊断为慢性肾脏病，需要进行血液透析治疗。在尝试置入双腔导管过程中，该患者发生了中心静脉损伤。计算机断层扫描和静脉造影显示导管已从中心静脉穿刺进入纵隔。经过全面评估和多学科会诊，在透视引导下经皮导管注射凝血酶并进行后续球囊扩张成功修复了穿孔。我们总结了该并发症的治疗策略及其他治疗选择，并讨论了中心静脉损伤的相关文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dff/6567695/dd816f50f282/10.1177_0300060519843686-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dff/6567695/91024e00fef9/10.1177_0300060519843686-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dff/6567695/7f60127dad84/10.1177_0300060519843686-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dff/6567695/dd816f50f282/10.1177_0300060519843686-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dff/6567695/91024e00fef9/10.1177_0300060519843686-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dff/6567695/7f60127dad84/10.1177_0300060519843686-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dff/6567695/dd816f50f282/10.1177_0300060519843686-fig3.jpg

相似文献

1
Therapeutic strategy of central vein perforation accompanied by a mediastinal lesion after catheterization.导管插入术后伴纵隔病变的中心静脉穿孔的治疗策略
J Int Med Res. 2019 Jun;47(6):2702-2708. doi: 10.1177/0300060519843686. Epub 2019 Apr 21.
2
The Perforation of the Superior Vena Cava Secondary to the Left Subclavian Dialysis Catheter.左锁骨下透析导管继发上腔静脉穿孔
Vasc Endovascular Surg. 2017 Feb;51(2):95-97. doi: 10.1177/1538574416689427. Epub 2017 Jan 24.
3
A Life-Threatening Mediastinal Hematoma After Central Venous Port System Implantation.中心静脉置管系统植入术后危及生命的纵隔血肿
Am J Case Rep. 2015 Dec 25;16:904-7. doi: 10.12659/ajcr.895486.
4
Misplaced central venous catheter in the vertebral artery: endovascular treatment of foreseen hemorrhage during catheter withdrawal.中心静脉导管误入椎动脉：导管拔出过程中预期出血的血管内治疗
J Vasc Access. 2014 Sep-Oct;15(5):418-23. doi: 10.5301/jva.5000267. Epub 2014 Jul 8.
5
Dialysis catheter placement via the left internal jugular vein: risk of brachiocephalic vein perforation.经左颈内静脉置入透析导管：头臂静脉穿孔的风险。
J Vasc Access. 2016 Jul 12;17(4):e75-8. doi: 10.5301/jva.5000566.
6
Endovascular Repair of an Inadvertent Right Vertebral Artery Rupture during Dialysis Catheter Insertion.透析导管插入过程中意外右侧椎动脉破裂的血管内修复术。
Ann Vasc Surg. 2018 Aug;51:324.e11-324.e16. doi: 10.1016/j.avsg.2018.02.022. Epub 2018 Jun 7.
7
Iatrogenic innominate vein injury by hemodialysis catheter, successful endovascular repair.血液透析导管导致的医源性无名静脉损伤，血管腔内修复成功。
J Vasc Access. 2015 Feb 16;16(1):e4-5. doi: 10.5301/jva.5000292.
8
Perforation of the left innominate vein during cannulation for haemodialysis.血液透析插管过程中左无名静脉穿孔。
Nephrology (Carlton). 2013 Aug;18(8):580. doi: 10.1111/nep.12097.
9
Innominate artery perforation during placement of hemodialysis catheter.血液透析导管置入过程中无名动脉穿孔
J Vasc Access. 2013 Oct-Dec;14(4):402. doi: 10.5301/jva.5000149. Epub 2013 May 3.
10
Central Venous Catheter Placement in the Left Internal Jugular Vein Complicated by Perforation of the Left Brachiocephalic Vein and Massive Hemothorax: A Case Report.左颈内静脉中心静脉导管置入术并发左头臂静脉穿孔及大量血胸：一例报告
A A Case Rep. 2017 Jul 1;9(1):16-19. doi: 10.1213/XAA.0000000000000511.

引用本文的文献

1
Case Report: Efficiency of Embolization Microcoils for the Repair of Brachiocephalic Vein Perforation During Hemodialysis Catheter Placement.病例报告：栓塞微线圈在修复血液透析导管置入过程中头臂静脉穿孔的有效性
Front Med (Lausanne). 2021 Sep 17;8:726120. doi: 10.3389/fmed.2021.726120. eCollection 2021.

本文引用的文献

1
Central venous catheterization-induced right brachiocephalic vein pseudoaneurysm: Successfully treated with stent-assisted coiling.中心静脉置管引起的右头臂静脉假性动脉瘤：支架辅助弹簧圈栓塞成功治疗
J Vasc Access. 2018 May;19(3):319-323. doi: 10.1177/1129729817746581. Epub 2018 Mar 14.
2
Comparative Analysis of Ultrasound Guided Central Venous Catheterization Compared to Blind Catheterization.超声引导下中心静脉置管与盲穿置管的对比分析
Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2017 Sep 1;38(2):107-114. doi: 10.1515/prilozi-2017-0028.
3
Endo-aneurysmorrhaphy of a giant aneurysm of the subclavian vein.
锁骨下静脉巨大动脉瘤的腔内缝合法修复术。
Glob Cardiol Sci Pract. 2012 Jul 4;2012(1):13. doi: 10.5339/gcsp.2012.13. eCollection 2012.
4
Fatal cardiac tamponade associated with central venous catheter: a report of 2 cases diagnosed in autopsy.中心静脉导管相关的致命性心脏压塞：2例尸检确诊病例报告
Am J Forensic Med Pathol. 2014 Mar;35(1):26-8. doi: 10.1097/PAF.0000000000000084.
5
Percutaneous thrombin injection of common carotid artery pseudoaneurysm without cerebral protection.在无脑保护情况下经皮注射凝血酶治疗颈总动脉假性动脉瘤
Tex Heart Inst J. 2012;39(5):696-8.
6
Phrenic nerve injury after image-guided insertion of a tunnelled right internal jugular central venous catheter.经影像引导插入隧道式右侧颈内静脉中央导管后发生膈神经损伤。
Pediatr Radiol. 2012 Jul;42(7):875-7. doi: 10.1007/s00247-011-2269-y. Epub 2011 Nov 6.
7
Traumatic chyle leak: a rare complication of left internal jugular venous cannulation.创伤性乳糜漏：左颈内静脉置管的罕见并发症。
Am J Med Sci. 2011 Mar;341(3):238-9. doi: 10.1097/MAJ.0b013e3182070cf4.
8
Videothoracoscopic-guided management of a central vein perforation during hemodialysis catheter placement.胸腔镜引导下血液透析导管放置过程中中心静脉穿孔的处理。
J Vasc Surg. 2010 Nov;52(5):1354-6. doi: 10.1016/j.jvs.2010.05.109. Epub 2010 Jul 17.
9
Carotid artery pseudoaneurysm after carotid endarterectomy: case series and a review of the literature.颈动脉内膜切除术后颈动脉假性动脉瘤：病例系列及文献综述
Vasc Endovascular Surg. 2009 Dec;43(6):571-7. doi: 10.1177/1538574409334827. Epub 2009 Jul 29.
10
A prospective study on ultrasound-guided percutaneous thrombin injection for treatment of iatrogenic post-catheterisation femoral pseudoaneurysms.一项关于超声引导下经皮注射凝血酶治疗医源性导管插入术后股动脉假性动脉瘤的前瞻性研究。
Int J Cardiol. 2009 Jan 24;131(3):356-61. doi: 10.1016/j.ijcard.2007.10.052. Epub 2008 Jan 14.