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在血管通路耗竭的患者中经右胸廓内静脉经皮置入带隧道的永久性血液透析导管

Percutaneous Placement of a Tunneled Permanent Hemodialysis Catheter via the Right Internal Thoracic Vein in a Patient with Exhausted Vascular Access.

作者信息

Guevara Rodríguez Romeo, Cabrera Griselda Xihuatetzin

机构信息

Hospital General San Juan de Dios, Ciudad de Guatemala, Guatemala.

出版信息

Methodist Debakey Cardiovasc J. 2025 Mar 25;21(1):35-38. doi: 10.14797/mdcvj.1494. eCollection 2025.

DOI:10.14797/mdcvj.1494
PMID:40161383
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11951958/
Abstract

A 30-year-old patient with end-stage chronic kidney disease presented in critical condition due to the exhaustion of vascular access options and recurrent episodes of peritonitis precluding peritoneal dialysis. A percutaneous, tunneled hemodialysis catheter was successfully placed via the right internal thoracic vein, providing life-saving vascular access and enabling immediate initiation of renal replacement therapy.

摘要

一名30岁的终末期慢性肾病患者因血管通路选择用尽且反复发生腹膜炎而无法进行腹膜透析，处于危急状态。通过右胸廓内静脉成功置入了一根经皮隧道式血液透析导管，提供了挽救生命的血管通路，并使肾脏替代治疗得以立即开始。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a265/11951958/4712457e0220/mdcvj-21-1-1494-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a265/11951958/64e2c3739075/mdcvj-21-1-1494-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a265/11951958/4712457e0220/mdcvj-21-1-1494-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a265/11951958/64e2c3739075/mdcvj-21-1-1494-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a265/11951958/4712457e0220/mdcvj-21-1-1494-g2.jpg

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本文引用的文献

1
The Use of the Internal Thoracic Vein for Placement of Large-Bore Tunneled Catheters.使用胸廓内静脉放置大口径隧道式导管。
J Vasc Interv Radiol. 2023 Nov;34(11):2038-2040. doi: 10.1016/j.jvir.2023.07.002. Epub 2023 Jul 11.
2
Influence of Tunneled Hemodialysis-Catheters on Inflammation and Mortality in Dialyzed Patients.经皮隧道式血液透析导管对透析患者炎症和死亡率的影响。
Int J Environ Res Public Health. 2021 Jul 16;18(14):7605. doi: 10.3390/ijerph18147605.
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KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update.
KDIGO 临床实践指南：血管通路 2019 更新版。
Am J Kidney Dis. 2020 Apr;75(4 Suppl 2):S1-S164. doi: 10.1053/j.ajkd.2019.12.001. Epub 2020 Mar 12.
4
The Complications of Vascular Access in Hemodialysis.血液透析血管通路并发症。
Semin Thromb Hemost. 2018 Feb;44(1):57-59. doi: 10.1055/s-0037-1606180. Epub 2017 Sep 12.
5
The use of the internal thoracic vein for percutaneous central venous access in an infant.经胸内静脉行婴儿经皮中心静脉置管术。
J Vasc Interv Radiol. 2010 Mar;21(3):400-2. doi: 10.1016/j.jvir.2009.11.002. Epub 2010 Jan 22.
6
The clinical anatomy of the internal thoracic veins.胸廓内静脉的临床解剖学
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