在放射性动脉导管治疗期间意外发现的持续的中枢动脉:一个病例报告
Shoko Nakamura1, Tetsuya Uchino1, Shigekiyo Matsumoto1
1Department of Anesthesiology, Faculty of Medicine, Oita University, Yufu City, Oita, Japan.
The journal of vascular access
|May 3, 2025
概括
持续的中间动脉变异可能会使放射性动脉导管治疗复杂化. 建议进行超声指导,以便在脉冲触摸失败时准确放置.
科学领域:
- 血管解剖学 血管解剖学
- 干预性心脏病学 干预性心脏病学
- 医学成像医学成像
背景情况:
- 射线动脉导管是血液动力学监测的一个常见程序.
- 解剖学变异,如持续的中枢动脉,可以阻碍成功的导管注射.
- 仅靠脉测试可能无法检测出这些变化.
研究的目的:
- 报告一个由持续的中枢动脉复杂的辐射动脉导管化病例.
- 突出血管可视化设备在识别解剖变异方面的实用性.
- 强调超声波指导在成功安置导管中的作用.
主要方法:
- 一名47岁的女性患者在腹腔镜手术中需要射线动脉导管.
- 使用脉冲触摸的初步尝试没有成功.
- 使用了血管可视化设备和实时超声波指导.
主要成果:
- 在中枢神经旁边发现了一个持久的中枢动脉.
- 超声波指导使射线动脉导管成功进行.
- 持续的中间动脉被证实是最初程序失败的原因.
结论:
- 持续的中枢动脉是一种显著的解剖学变异,可以使放射性动脉导管治疗复杂化.
- 血管可视化设备和超声波对于识别和导航此类变异至关重要.
- 实时超声波指导可确保在出现解剖异常的情况下准确地放置导管.
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