内静脉绕道用于中枢静脉阻塞,并与此相关的视力障碍
Shen Chen1, Chang Sheng1, Xianwei Wang1,2,3
1Department of Vascular Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, China.
血液透析患者中枢静脉阻塞 (CVO) 可能导致视力丧失. 一种新的内静脉绕道成功地恢复了功能和视力,提供了一个新的治疗选择.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血管外科 血管外科
- 眼科医生 眼科 眼科
背景情况:
- 中枢静脉阻塞 (CVO) 是血液透析 (HD) 患者的常见并发症.
- CVO可能导致罕见但可逆的视力损伤 (VI).
研究的目的:
- 在HD患者中报告CVO相关VI病例.
- 描述CVO成功的手术干预及其对VI的影响.
主要方法:
- 一名50岁的女性患有CVO和VI的HD患者接受了血管造影.
- 皮肤透光血管造形术没有成功.
- 进行左至右内静脉 (IJV) 绕道,以维持动脉静脉 (AVF) 功能.
主要成果:
- 血管造影证实左臂脑静脉封闭.
- 经过旁路手术后,观察到明显减少胀和部分视力恢复.
- 在两年后的随访中,IJV绕道仍然是专利的,使得继续的HD.
结论:
- 手术绕道是内血管治疗失败后CVO的可行替代方案.
- 这种方法保留了静脉通道,延长了HD的可持续性,并且可以逆转CVO相关的VI.
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