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使用圈套器技术经血管内取出断裂的隧道式血液透析中心静脉导管

Endovascular Retrieval of a Fractured Tunneled Hemodialysis Central Venous Catheter Using the Loop Snare Technique.

作者信息

Sasaki Tomoko, Fujioka Yuki, Hikichi Haruka, Yokota Daisuke, Ueki Shigeharu

机构信息

Department of General Internal Medicine and Clinical Laboratory Medicine, Akita University Graduate School of Medicine, Akita, JPN.

Department of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, Akita, JPN.

出版信息

Cureus. 2023 Feb 28;15(2):e35617. doi: 10.7759/cureus.35617. eCollection 2023 Feb.

Abstract

The tunneled cuffed hemodialysis catheter is a valuable vascular access option for patients with end-stage renal disease (ESRD). Healthcare providers have become more familiar with the insertion of medical devices, including central venous catheters, in their daily practice. The occurrence of foreign body fragmentation is rare with these catheters. This article presents a case in which a fracture of the distal portion of the hemodialysis catheter was inadvertently identified during a coronary angiography. Percutaneous removal of the fractured venous catheter was performed successfully using a loop snare catheter, which prevented the patient from experiencing further complications.

摘要

隧道式带 cuff 血液透析导管是终末期肾病(ESRD)患者宝贵的血管通路选择。医疗服务提供者在日常实践中对包括中心静脉导管在内的医疗设备的插入操作已更加熟悉。这些导管很少发生异物破碎情况。本文介绍了一例在冠状动脉造影期间意外发现血液透析导管远端部分断裂的病例。使用圈套导管成功地经皮取出了断裂的静脉导管,从而避免了患者出现进一步的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c21a/10065372/ff53a05aba91/cureus-0015-00000035617-i01.jpg

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