Department of Internal Medicine, Division of Nephrology, Erciyes University School of Medicine, Kayseri, Turkey.
Department of Radiology, Erciyes University School of Medicine, Kayseri, Turkey.
BMC Nephrol. 2020 Dec 3;21(1):525. doi: 10.1186/s12882-020-02182-0.
Tunneled catheters can be used as an alternative vascular access in patients with limited health expectancy,vascular access problems and several comorbidities. We aimed to present a patient with venous stenosis related- reversible acute Budd-Chiari syndrome after catheter malposition.
After changing of tunneled catheter insertion, 36-year old man was admitted to our hospital with sudden onset of nausea, fever, chills and worsening general condition In computed tomography (CT) imaging, a hypodense thrombus was observed in which the distal end of the catheter is at the level of drainage of the hepatic veins in the inferior vena cava and that blocked hepatic vein drainage around the catheter. The catheter was removed and a new catheter was inserted in the same session. Because patient's general condition was good and without fever, he was discharged with advices on the 9th day of hospitalization.
Although catheter malposition and thrombosis are not a common complication, clinicians should be alert of these complications.
在预期寿命有限、血管通路问题和多种合并症的患者中，可以使用隧道式导管作为替代血管通路。我们旨在介绍一例因导管错位导致静脉狭窄相关可复性急性 Budd-Chiari 综合征的患者。
在更换隧道式导管插入后，36 岁男性因突发恶心、发热、寒战和一般状况恶化而入院。在计算机断层扫描 (CT) 成像中，观察到低密血栓，导管的远端位于下腔静脉肝静脉引流水平，导管周围肝静脉引流受阻。导管被取出，在同一时段插入了新的导管。由于患者一般状况良好，无发热，他在住院第 9 天出院。
虽然导管错位和血栓形成并不常见，但临床医生应警惕这些并发症。
