[1]卜泉东,栾弘,牛立园,等.经皮腔内血管成形术开通带隧道和涤纶套透析导管留置后失功中心静脉及再置管的意义[J].介入放射学杂志,2024,33(09):961-966.
BU Quandong,LUAN Hong,NIU Liyuan,et al.Percutaneous transluminal angioplasty for dysfunctional central vein caused by tunnel-cuffed catheter[J].journal interventional radiology,2024,33(09):961-966.
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经皮腔内血管成形术开通带隧道和涤纶套透析导管留置后失功中心静脉及再置管的意义(
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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33
- 期数:
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2024年09
- 页码:
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961-966
- 栏目:
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血管介入
- 出版日期:
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2024-09-17
文章信息/Info
- Title:
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Percutaneous transluminal angioplasty for dysfunctional central vein caused by tunnel-cuffed catheter
- 作者:
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卜泉东; 栾弘; 牛立园; 徐岩; 张岩; 王曰伟
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- Author(s):
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BU Quandong; LUAN Hong; NIU Liyuan; XU Yan; ZHANG Yan; WANG Yuewei.
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Department of Nephrology,Affiliated Hospital of Qingdao University,Qingdao,Shandong Province 266003,China
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- 关键词:
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【关键词】经皮腔内血管成形术; 中心静脉狭窄; 带隧道和涤纶套的透析导管; 血液透析; 数字减影血管造影
- 文献标志码:
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A
- 摘要:
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【摘要】目的探讨DSA造影下经皮腔内血管成形术(percutaneous transluminal angioplasty,PTA)开通带隧道和涤纶套的透析导管(tunnel-cuffed catheter,TCC)留置后失功中心静脉和再置管的意义。方法纳入2018年7月至2022年7月在青岛大学附属医院肾内科就诊的TCC留置相关中心静脉病变患者13例。TCC留置中位时间35.2个月(6~70个月)。在加硬导丝支撑下拔除失功导管并造影显示中心静脉狭窄或闭塞。PTA开通中心静脉并原位或异位置入新TCC。结果13例患者中有12例原TCC顺利拔除,1例因导管粘连严重,拔除失败。中心静脉狭窄包括右颈静脉、无名静脉、上腔静脉和右髂静脉,行PTA后均成功置入新TCC,未行支架植入。患者术后中位随访时间为23.1个月(6~48个月),通路功能正常。结论DSA下PTA开通TCC相关中心静脉狭窄或闭塞,置入新TCC导管,能够为TCC后失功患者重新建立透析通路,延长通路寿命。
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备注/Memo
- 备注/Memo:
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(收稿日期:2023-10-11)
(本文编辑:新宇)
更新日期/Last Update:
2024-09-15