Sakakibara Y, Jikuya T, Soma S, Kikuchi H
Department of Surgery, University of Tsukuba, Japan.
Thorac Cardiovasc Surg. 1998 Jun;46(3):162-4. doi: 10.1055/s-2007-1010218.
We describe the case of a 64-year-old woman with an iatrogenic pseudoaneurysm, arteriovenous fistula, and thrombotic occlusion of the right femoral vein with Staphylococcus aureus infection resistant to methicillin as complications of femoral catheterization for hemodialysis access. A temporary caval filter was introduced just prior to operation and kept in place for 4 days. An infected thrombus was captured and removed with a filter-catheter device. The placement of a temporary caval filter should be considered for prevention of pulmonary embolism in patients with infected venous thrombosis which requires surgical thrombectomy.
我们描述了一例64岁女性患者，其因血液透析通路的股静脉置管出现并发症，发生了医源性假性动脉瘤、动静脉瘘以及右股静脉血栓形成闭塞，且感染的金黄色葡萄球菌对甲氧西林耐药。术前临时置入了下腔静脉滤器，并保留4天。使用滤器导管装置捕获并清除了感染性血栓。对于需要进行手术取栓的感染性静脉血栓形成患者，应考虑置入临时下腔静脉滤器以预防肺栓塞。
