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血液透析动静脉内瘘建立后锁骨下静脉阻塞的揭示。锁骨下静脉置管透析后的一个问题?

Unmasking of subclavian vein obstruction following creation of arteriovenous fistulae for haemodialysis. A problem following subclavian line dialysis?

作者信息

McNally P G, Brown C B, Moorhead P J, Raftery A T

出版信息

Nephrol Dial Transplant. 1987;1(4):258-60.

PMID:3110686
Abstract

We report three cases of subclavian vein obstruction following haemodialysis by a subclavian line. The obstruction only became apparent clinically following the formation of an arteriovenous fistula on the same side as the initial catheterisation. In each case, gross swelling of the arm followed creation of the fistula. One case responded to treatment with anticoagulants, but the other two required ligation of the arteriovenous fistula with rapid resolution of the swelling.

摘要

我们报告了3例因锁骨下静脉置管进行血液透析后出现锁骨下静脉梗阻的病例。梗阻仅在与最初置管同侧形成动静脉内瘘后才在临床上显现出来。在每例病例中,内瘘形成后均出现了患侧手臂的明显肿胀。1例经抗凝治疗有效,但另外2例需要结扎动静脉内瘘,肿胀迅速消退。

相似文献

1
Unmasking of subclavian vein obstruction following creation of arteriovenous fistulae for haemodialysis. A problem following subclavian line dialysis?血液透析动静脉内瘘建立后锁骨下静脉阻塞的揭示。锁骨下静脉置管透析后的一个问题?
Nephrol Dial Transplant. 1987;1(4):258-60.
2
Subclavian vein stenosis: complication of subclavian vein catheterization for hemodialysis.锁骨下静脉狭窄:血液透析锁骨下静脉置管的并发症。
Child Nephrol Urol. 1991;11(4):212-4.
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Surgical bypass of symptomatic central venous obstruction for arteriovenous fistula salvage in hemodialysis patients.对血液透析患者进行有症状的中心静脉阻塞的外科搭桥手术以挽救动静脉瘘。
Ann Vasc Surg. 2008 Mar;22(2):203-9. doi: 10.1016/j.avsg.2007.11.001.
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Unilateral breast and arm enlargement secondary to haemodialysis arteriovenous fistula without subclavian vein occlusion.
Nephrol Dial Transplant. 1994;9(1):85-6.
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Salvage of hemoaccess in the presence of symptomatic subclavian vein stenosis/occlusion.有症状的锁骨下静脉狭窄/闭塞情况下血液通路的挽救
Transplant Proc. 1987 Aug;19(4 Suppl 5):137-45.
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Massive upper extremity edema following vascular access surgery.
Ann Vasc Surg. 1988 Jan;2(1):75-8. doi: 10.1016/S0890-5096(06)60782-6.
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Subclavian vein catheterisation for haemodialysis.用于血液透析的锁骨下静脉置管术。
N Z Med J. 1984 Jul 11;97(759):433-6.
8
[Vascular access for hemodialysis in patients with central vein stenosis or obstruction].[中心静脉狭窄或阻塞患者的血液透析血管通路]
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9
Pleural effusion associated with ipsilateral breast and arm edema as a complication of subclavian vein catheterization and arteriovenous fistula formation for hemodialysis.作为锁骨下静脉插管及动静脉内瘘形成用于血液透析的并发症,出现与同侧乳房及手臂水肿相关的胸腔积液。
Chest. 1994 Sep;106(3):950-2. doi: 10.1378/chest.106.3.950.
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Subclavian vein to right atrial appendage bypass without sternotomy to maintain arteriovenous access in patients with complete central vein occlusion, a new approach.锁骨下静脉至右心耳旁路术,无需开胸,用于在完全性中心静脉闭塞患者中维持动静脉通路,一种新方法。
Ann Vasc Surg. 2009 Jul-Aug;23(4):465-8. doi: 10.1016/j.avsg.2009.01.001. Epub 2009 Apr 8.

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1
Unilateral pleural effusion associated with ipsilateral arm and breast oedema: a rare complication of brachiocephalic and SVC stenosis in association with an arteriovenous fistula.单侧胸腔积液伴同侧手臂和乳房水肿:一种罕见的头臂干和上腔静脉狭窄合并动静脉瘘的并发症。
NDT Plus. 2008 Apr;1(2):131-132. doi: 10.1093/ndtplus/sfn011. Epub 2008 Feb 15.