Wijeyesinghe E C, Pei Y, Fenton S S, Uldall P R
Int J Artif Organs. 1987 Mar;10(2):102-4.
In two patients right atrial ball thrombi developed following prolonged subclavian cannulation for hemodialysis. One patient died, the other had the ball thrombus removed by open heart surgery. It appears that repeated friction of the catheter tip may have damaged the endothelium of the right atrial wall. This hitherto unrecognised complication might be prevented by ensuring that subclavian hemodialysis catheters are never allowed to reach as far as the right atrium.
两名患者在进行长期锁骨下静脉置管以进行血液透析后出现右心房球状血栓。一名患者死亡,另一名患者通过心脏直视手术取出了球状血栓。似乎导管尖端的反复摩擦可能损伤了右心房壁的内皮。通过确保锁骨下血液透析导管绝不插入到右心房,可以预防这种迄今未被认识到的并发症。