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终末期肾病患者在进行微小静脉切开术和挤压以挽救功能失调的自体动静脉内瘘后发生肺栓塞。

Pulmonary embolism in an ESRD patient following minimal venotomy and milking for salvage of dysfunctional autogenous arteriovenous fistula.

作者信息

Rimal Ankit, Karki Bipin, Paudel Ashmita, Pradhan Utsav Lal, Bhusal Kabi Raj

机构信息

Department of Critical Care Medicine Tribhuvan University Teaching Hospital Kathmandu Nepal.

Department of Radiology Tribhuvan University Teaching Hospital Kathmandu Nepal.

出版信息

Clin Case Rep. 2023 Mar 3;11(3):e7042. doi: 10.1002/ccr3.7042. eCollection 2023 Mar.

DOI:10.1002/ccr3.7042
PMID:36879679
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9984676/
Abstract

Pulmonary embolism can be a complication following an attempted salvage of a dysfuctional arteriovenous fistula (AVF). We report a case of bilateral pulmonary embolism in a patient with underlying pericardial effusion who, following minimal venotomy and milking of the AVF, developed sudden and significant respiratory distress, and later improved.

摘要

肺栓塞可能是试图挽救功能失调的动静脉内瘘（AVF）后的一种并发症。我们报告一例患有潜在心包积液的患者发生双侧肺栓塞的病例，该患者在进行最小限度的静脉切开和AVF按摩后，突然出现严重的呼吸窘迫，随后病情好转。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d20c/9984676/161852eb8622/CCR3-11-e7042-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d20c/9984676/c4c656f3c152/CCR3-11-e7042-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d20c/9984676/161852eb8622/CCR3-11-e7042-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d20c/9984676/c4c656f3c152/CCR3-11-e7042-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d20c/9984676/161852eb8622/CCR3-11-e7042-g001.jpg

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本文引用的文献

1
Acute Pulmonary Embolism: A Review.急性肺栓塞：综述。
JAMA. 2022 Oct 4;328(13):1336-1345. doi: 10.1001/jama.2022.16815.
2
2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS).2019年欧洲心脏病学会（ESC）与欧洲呼吸学会（ERS）合作制定的急性肺栓塞诊断和管理指南。
Eur Heart J. 2020 Jan 21;41(4):543-603. doi: 10.1093/eurheartj/ehz405.
3
Increased risk of deep vein thrombosis in end-stage renal disease patients.终末期肾病患者深静脉血栓形成风险增加。
BMC Nephrol. 2018 Aug 16;19(1):204. doi: 10.1186/s12882-018-0989-z.
4
Percutaneous treatment of thrombosed hemodialysis arteriovenous fistulas: use of thromboaspiration and balloon angioplasty.经皮治疗血栓形成的血液透析动静脉内瘘：血栓抽吸和球囊血管成形术的应用
Clujul Med. 2017;90(1):66-70. doi: 10.15386/cjmed-686. Epub 2017 Jan 15.
5
Cardiac Arrest Secondary to Bilateral Pulmonary Emboli following Arteriovenous Fistula Thrombectomy: A Case Report with Review of the Literature.动静脉内瘘血栓切除术后双侧肺栓塞继发心脏骤停：一例病例报告并文献复习
Case Rep Nephrol. 2012;2012:831726. doi: 10.1155/2012/831726. Epub 2012 May 23.
6
Recanalization of thrombosed arteriovenous fistulas for hemodialysis by minimal venotomy.经最小静脉切开术再通血栓形成的动静脉瘘用于血液透析。
J Vasc Interv Radiol. 2013 Mar;24(3):401-5. doi: 10.1016/j.jvir.2012.11.012.
7
A venotomy and manual propulsion technique to treat native arteriovenous fistulas occluded by thrombi.经皮血管切开术和手动推进技术治疗血栓形成导致的自体动静脉瘘闭塞。
AJR Am J Roentgenol. 2012 Feb;198(2):460-5. doi: 10.2214/AJR.10.6230.
8
The radiological management of the thrombosed arteriovenous dialysis fistula.血栓形成的动静脉内瘘的放射学处理。
Clin Radiol. 2011 Jan;66(1):1-12. doi: 10.1016/j.crad.2010.05.010. Epub 2010 Sep 15.
9
Chronic kidney disease and venous thromboembolism: epidemiology and mechanisms.慢性肾脏病与静脉血栓栓塞症：流行病学及发病机制
Curr Opin Pulm Med. 2009 Sep;15(5):408-12. doi: 10.1097/MCP.0b013e32832ee371.
10
Long-term outcome of pulmonary embolism.肺栓塞的长期预后
Curr Opin Hematol. 2008 Sep;15(5):499-503. doi: 10.1097/MOH.0b013e3283063a51.