Quek Lawrence Han Hwee, Tan Tracy Suet Mun, Tan Glenn Wei Leong, Pua Uei
Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore, Singapore.
Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Hemodial Int. 2019 Oct;23(4):E111-E114. doi: 10.1111/hdi.12770. Epub 2019 Jul 22.
Chronic central venous occlusion represents a challenge for upper body central dialysis access for both surgical and endovascular interventions. The Surfacer (Surfacer Inside-Out Access Catheter System) is a novel technique that offers a device-based solution over various physician-modified techniques in salvaging exhausted right-sided neck veins for catheter placement. We report a retrospective series of four cases in which this system is used to gain upper body venous access from a single center in Singapore. This report seeks to integrate the understanding of the technical aspects of a new inside-out device and its utility in recanalization of occluded right-sided neck veins as it relates to Asian patients.
慢性中心静脉闭塞对上肢中心透析通路而言，无论是外科手术还是血管内介入治疗都是一项挑战。Surfacer（内翻式血管通路导管系统）是一种新技术，在挽救已耗竭的右侧颈静脉用于放置导管方面，它提供了一种基于器械的解决方案，优于各种医生改良技术。我们报告了一组来自新加坡单一中心的4例回顾性病例，这些病例使用该系统获得上肢静脉通路。本报告旨在综合理解一种新型内翻式器械的技术方面及其在闭塞右侧颈静脉再通中的效用，尤其针对亚洲患者。
