Ng Kenneth K, Rozental Tatyana
Anesthesiology, State University of New York Downstate Medical Center, Brooklyn, USA.
Cureus. 2020 Mar 6;12(3):e7197. doi: 10.7759/cureus.7197.
A 41-one-year-old female on chronic hemodialysis with a medical history of systemic lupus erythematosus and end-stage renal disease presented with clotted hemodialysis access. She was sent to the operating room for angiogram/angioplasty with thrombectomy. Although the thrombectomy was successful, toward the end of the case, she went into cardiac arrest secondary to a massive pulmonary embolization that probably originated from her clotted arteriovenous fistula. Spontaneous circulation returned only after a prolonged period of resuscitation using advanced cardiac life support. She was transferred to the medical intensive care unit (ICU) intubated while receiving minimal cardiovascular pharmacological support. Computerized tomography (CT) scan of the head indicated extensive anoxic brain injury and she expired two days later.
一名41岁的女性，有系统性红斑狼疮和终末期肾病病史，长期接受血液透析，因血液透析通路血栓形成而就诊。她被送往手术室进行血管造影/血管成形术及血栓切除术。尽管血栓切除术成功，但在手术接近尾声时，她因大量肺栓塞继发心脏骤停，肺栓塞可能源于她已形成血栓的动静脉内瘘。经过长时间使用高级心脏生命支持进行复苏后，自主循环才恢复。她被转入内科重症监护病房（ICU），插管状态，仅接受极少的心血管药物支持。头部计算机断层扫描（CT）显示广泛的缺氧性脑损伤，两天后她死亡。
