Hospital Prof. Doutor Fernando Fonseca, Departamento de Nefrologia, Amadora, Lisboa, Portugal.
Hospital Prof. Doutor Fernando Fonseca, Departamento de Radiologia, Amadora, Lisboa, Portugal.
J Bras Nefrol. 2022 Oct-Dec;44(4):597-601. doi: 10.1590/2175-8239-JBN-2020-0263.
Hemodialysis central venous catheter (CVC) insertion can be complicated in patients with anomalous vessel anatomy. In such cases detailed knowledge of thoracic vessel anatomy is necessary to identify the exact location of the catheter. Central venous placement under ultrasound control has significantly reduced the complications associated with blind puncture and allows an appropriate puncture of the desired vessel, but the CVC can still get misplaced if it follows an anomalous route. Herein, we report a case of dialysis catheter placed into a left sided superior vena cava, only diagnosed after CT scan study.
血液透析中心静脉导管（CVC）插入在血管解剖异常的患者中可能会很复杂。在这种情况下，需要详细了解胸部血管解剖结构，以确定导管的确切位置。在超声控制下进行中心静脉置管显著降低了盲目穿刺相关的并发症，并允许对所需血管进行适当穿刺，但如果 CVC 遵循异常路径，仍可能会错位。在此，我们报告了一例左侧上腔静脉置管的病例，仅在 CT 扫描研究后才被诊断出来。
