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透皮透肝静脉通道用于血液透析:一个单一中心的经验与救援通道的经验
Mariana Sousa Freitas1,2, Amanda Meyer Luz2,3,4, Ademar Regueira Filho3,5
1Centro Hospitalar de Trás-os-Montes e Alto Douro, Serviço de Nefrologia, Vila Real, Portugal.
Jornal brasileiro de nefrologia
|February 2, 2026
概括
跨肝静脉接入为血管接入有限的患者提供了可行的血液透析选择. 这种方法表现出良好的功能性和低的感染率,尽管血栓形成需要进一步管理.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 血管接入 血管接入
- 干预性放射学 干预性放射学
背景情况:
- 中枢静脉导管 (CVC) 在传统途径无法使用时,对血液透析至关重要.
- 传统的有限的血管接入点需要探索替代的CVC选项.
- 跨肝静脉通道为那些常规通道已经耗尽的患者提供了潜在的解决方案.
研究的目的:
- 评估血液透析的跨肝静脉通道的可行性.
- 评估跨肝 CVC 的感染率,导管通透性和透析适度.
- 确定具有有限接入选择的患者中跨肝CVCs的长期结果.
主要方法:
- 对接受透肝CVC安置进行血液透析的患者进行了回顾性研究.
- 对临床记录进行人口统计,并发病,CVC细节和结果的审查.
- 透析充分性 (eKt/V),感染率,血栓形成和导管通透性的分析.
主要成果:
- 在12名患者中,24个跨肝 CVC 的技术成功率为100%.
- 低血栓形成率 (0.30/100 导管天) 和感染率 (0.08/100 导管天).
- 平均透析剂量 (eKt/V) 为1.29,平均通透时间为162.9 (初级) 和204.0 (二级) 天.
结论:
- 透肝血液透析导管是限制血管通道的患者的可行选择.
- 该程序显示了良好的长期功能,低感染率和足够的透析.
- 血栓形成仍然是一个挑战,突出了改善维护和进一步研究的需要.
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