通过皮肤进行平行接接,以固定难以通道的状囊:一个病例呈现
Koen Ea Van der Bogt1,2,3, Joris I Rotmans1,2
1Haaglanden Medical Center, The Hague, The Netherlands.
The journal of vascular access
|September 27, 2024
概括
转移的支柱状囊可以具有挑战性的管. 在囊附近放置 sutures 成功改善了针的接入,即使在 suture 移除后也保持了它.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 动脉静脉 (AVF) 对于血液透析的准入至关重要.
- 转移的支柱状囊 (TBFs) 可能会因为血管"滚动"和固定问题而带来管挑战.
研究的目的:
- 描述一种改进成熟TBF管的新技术.
- 为了评估穿皮在稳定"滚动"的有效性.
主要方法:
- 一名患有成熟的TBF的患者,遇到管困难,接受了与管相邻的多个并行穿皮 sutures 的治疗.
- 在施 suture 之前,施 suture 期间和施 suture 之后,对 cannulation 的成功和血管稳定性进行了评估.
主要成果:
- 透皮接有效地稳定了"滚动"的,消除了管的困难.
- 在 suture 放置后,成功且无事件的插管得到了实现.
- 即使 sutures 被移除后,改进的通道也持续存在.
结论:
- 通过皮肤 suturing 是一个简单而有效的方法来管理"滚动"转移的brachiobasilic fistulas的管困难.
- 这种技术为改善AVF访问和患者结果提供了潜在的解决方案.
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