在患有大动脉内心炎的患者中,持续的左上静脉卡瓦的血液透析导管
Dejan Marković1,2, Sonja Grković1, Vladimir Tutuš1,2
1Department of Anesthesia, Clinic for Cardiac Surgery, University Clinical Centre of Serbia, Belgrade, Serbia.
Brazilian journal of cardiovascular surgery
|March 28, 2025
概括
持续的左上静脉 (PLSVC) 是一种常见的先天性静脉异常. 血液透析导管可以安全地插入PLSVC,确保良好的功能和最小的并发症风险.
科学领域:
- 心血管医学 心血管医学
- 遗传异常是一种先天性异常.
- 血管外科 血管外科
背景情况:
- 持续的左上静脉 (PLSVC) 是一种先天性静脉异常,在一般人群中发生率为0.5%.
- 它经常与先天性心脏病 (12%) 相关,并且在心脏手术患者中被怀疑通过左侧静脉进行中央静脉导管治疗.
研究的目的:
- 评估血液透析导管插入在患有持续左上静脉 (PLSVC) 的患者的安全性和有效性.
- 为了证实胸前超声波在验证静脉系统中导管放置的实用性.
主要方法:
- 使用过胸腔超声波和注射5%葡萄糖溶液,可视化导管尖位置在右心室.
- 评估了PLSVC患者的血液透析导管功能和并发症率.
主要成果:
- 胸外超声波有效地证实了静脉系统内的导管位置.
- 血液透析导管在插入PLSVC时表现出良好的功能.
- 在PLSVC中放置导管时,没有观察到严重并发症的显著增加.
结论:
- 持续的左上静脉 (PLSVC) 不排除成功使用血液透析导管.
- 将导管插入PLSVC是一个可行的选择,具有可接受的安全性和有效性.
- 胸前超声波是确认在PLSVC病例中的导管放置的一个有价值的工具.
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