Bednarczyk Dawid, Kuliczkowski Wiktor, Letachowicz Krzysztof, Dzidowski Marcin, Witkowski Tomasz, Krajewska Magdalena, Kusztal Mariusz, Mysiak Andrzej, Ściborski Krzysztof, Mitkowski Przemysław
Department of Cardiology, University Hospital in Wroclaw, Wroclaw, Poland.
Department of Heart Diseases, University Hospital in Wroclaw, Wroclaw, Poland.
J Vasc Access. 2021 Jan;22(1):147-150. doi: 10.1177/1129729819894085. Epub 2019 Dec 23.
The problem with limited venous access may occur in patients receiving long-term hemodialysis treatment with no possibility of arteriovenous access or in patients with cardiac implantable electronic device-related infection leading to the removal of cardiac implantable electronic device. We present a case report where both situations occur simultaneously. Using recent development in cardiac pacing-leadless cardiac pacemaker-we manage to overcome the vascular access problem. The described case emphasizes the necessity of multispecialty collaboration and gains of new pacing technology in patients who need placement of vascular access for hemodialysis and cardiac implantable electronic device where vascular access is scarce.
静脉通路受限的问题可能出现在接受长期血液透析治疗且无法建立动静脉通路的患者中，或者出现在因心脏植入式电子设备相关感染而导致心脏植入式电子设备被移除的患者中。我们报告一例这两种情况同时出现的病例。利用心脏起搏方面的最新进展——无导线心脏起搏器，我们成功克服了血管通路问题。该病例强调了多学科协作的必要性以及新起搏技术在那些既需要为血液透析建立血管通路又因血管条件差而需要植入心脏植入式电子设备的患者中的作用。
