Management of venous perforation during central venous catheterization in hemodialysis patients
Rattachement africain : cn, us, nz. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
RATIONALE: In recent years, central venous catheterization (CVC) has become widely used for hemodialysis patients. Based on 3 cases, we discussed the detection and management of venous perforation at an early stage. PATIENTS CONCERNS: Patients 1 (male, 77 years), 2 (male, 82 years), and 3 (male, 30 years) were diagnosed with uremia and underwent hemodialysis. DIAGNOSES: Computed tomography suggested pneumomediastinum in patient 1 and pneumothorax in patient 2 after a replacement of the temporary hemodialysis catheter. In patient 3, X-ray suggested that the tip of the catheter was approximately at the plane of the fifth thoracic vertebrate after the temporary catheter was placed. INTERVENTIONS: In patients 1 and 2, the catheters were maintained where they were for about 2 weeks until a false lumen formed outside the catheter. In patient 3, the catheter was withdrawn at once when vein perforation was observed. OUTCOME: In patients 1 and 2, the catheters were adjusted successfully under digital subtraction angiography (DSA) guidance 2 weeks later. In patient 3, hemothorax developed, and a total of approximately 1000 mL of bloody fluid was drained. LESSONS: When venous perforation occurs during CVC, it is safer and more reliable to adjust or withdraw the catheter under DSA guidance after a false lumen forms outside the catheter.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Management of venous perforation during central venous catheterization in hemodialysis patients
- Date Crossref
- 01/06/2019
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Wenzhou Medical University Department of Nephrology pays non établi dans la noticeUniversité ou école supérieure
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Creative Commons pays non établi dans la noticeOrganisation à but non lucratif
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Mercy Angiography Unit pays non établi dans la noticeÉtablissement de santé
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Zhejiang Taizhou Hospital pays non établi dans la noticeÉtablissement de santé
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Abbreviations: CVC = central venous catheterization pays non établi dans la noticeInstitution
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DSA = digital subtraction angiography pays non établi dans la noticeInstitution
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L-YX and D-JC contributed equally to this work and should be considered co-first authors pays non établi dans la noticeInstitution
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The authors declare that they have no conflict of interest pays non établi dans la noticeInstitution
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This research received no specific grant from any funding agency in the public pays non établi dans la noticeOrganisme public
Department of Nephrology — Wenzhou Medical University, Creative Commons et Mercy Angiography Unit, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.