...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Current Surgery >Surgical management of a hemodialysis catheter-induced right atrial thrombus.
【24h】

Surgical management of a hemodialysis catheter-induced right atrial thrombus.

机译：血液透析导管诱发的右房血栓的外科治疗。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The placement of hemodialysis catheters are widely performed by vascular surgeons and surgical residents for use in both the hospital and the outpatient setting. Although long-term complications of this type of vascular access are relatively uncommon, an appreciation is warranted for the life-threatening complication of right atrial thrombus (RAT). Once recognized, medical or surgical management is mandatory to prevent further consequences from RAT. The optimal treatment for catheter-induced RAT is still controversial. Our case and review illustrates how the routine placement of a malpositioned hemodialysis catheter in a young man can lead to the serious complication of RAT that necessitated cardiac surgery after thrombolysis failed. We describe the successful surgical management of a hemodialysis catheter-induced RAT and suggest that in cases of large, mobile RATs with adherence to both atrial wall and catheter, suspicion or evidence of pulmonary embolus (PE), and low-risk surgical candidates, open thrombectomy may be an optimal and definitive treatment.
机译：血液透析导管的放置是由血管外科医师和外科住院医师广泛进行的，可用于医院和门诊。尽管这种类型的血管通路的长期并发症相对少见，但对于危及生命的右心房血栓（RAT）并发症，值得赞赏。一旦被认可，就必须进行医学或外科手术管理，以防止RAT带来进一步的后果。导管诱导的RAT的最佳治疗仍存在争议。我们的案例和评论表明，年轻人中常规放置不当的血液透析导管会如何导致RAT严重并发症，从而导致溶栓失败后必须进行心脏手术。我们描述了血液透析导管诱导的RAT的成功外科手术治疗，并建议在大型，活动性RAT既遵守房壁和导管要求，怀疑或有肺栓塞（PE）证据的情况下，也应考虑开放低风险的候选外科手术血栓切除术可能是一种最佳且确定的治疗方法。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号