首页> 外文期刊>Journal of Surgical Case Reports >A stuck haemodialysis central venous catheter: not quite open and shut!
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A stuck haemodialysis central venous catheter: not quite open and shut!

机译:血液透析中心静脉导管卡住:打开和关闭不完全!

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Removal of tunnelled central venous catheters can become complex if left in situ for a prolonged period. We report a challenging case of a stuck tunnelled haemodialysis catheter, which required sternotomy with cardio-pulmonary bypass for retrieval. A 47-year-old female had failed attempts to remove the venous limb of a Tessio line on the ward. A cut down on the internal jugular vein and division of the fibrin sheath failed to release it. Synchronous traction was applied via a snare inserted through a femoral approach. On table trans-oesophageal echocardiogram showed the tip of the catheter traversing the tricuspid valve. At sternotomy with cardio-pulmonary bypass, the tip of the catheter was found attached to the septal leaflet of the tricuspid valve requiring release and repair. The management of stuck line has potential serious complications. Prophylactic catheter exchange should be considered to avoid complications.
机译:如果长时间留在原地,拆除穿隧的中央静脉导管会变得很复杂。我们报告了一个棘手的隧道血液透析导管阻塞的案例,该案例需要进行胸骨切开术并进行心肺旁路手术。一名47岁的女性未尝试移除病房中Tessio线的静脉四肢。切开颈内静脉和纤维蛋白鞘的分裂未能释放它。同步牵引通过通过股骨入路的网罗施加。在表上,经食道超声心动图显示导管尖端横穿三尖瓣。在进行心肺分流的胸骨切开术中,发现导管的尖端附着在三尖瓣的间隔小叶上,需要释放和修复。堵塞线的处理可能会导致严重的并发症。应考虑预防性更换导管以避免并发症。

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