Thrombolysis Following Central Venous Catheter Placement

Sakuta Kenichi; Nakada Ryoji; Miyagawa Shinji; Hasegawa Izumu; Yaguchi Hiroshi

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Thrombolysis Following Central Venous Catheter Placement

机译：中央静脉导管放置后的溶栓

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摘要

Thrombolytic agents are infusion formulations, and some patients cannot be cannulated by a peripheral venous route. This report describes a patient with acute ischemic stroke who was administered alteplase following central venous catheter placement. An 82-year-old man with paroxysmal atrial fibrillation presented with left unilateral spatial neglect and left hemiparesis. Magnetic resonance imaging showed acute cerebral infarction located in the right cerebrum without occlusion of the main artery. The infarction was considered appropriately indicated for thrombolysis. However, no peripheral venous access could be secured, even by trained emergency room physicians. A central venous catheter was therefore placed in the right jugular vein and thrombolysis was performed. After treatment, neurological deficits completely resolved without any clinically serious bleeding. Venous catheter placement may be a safe alternative to peripheral vein access in such a circumstance.

机译：溶栓剂是输液制剂，一些患者不能通过外周静脉途径插管。本报告描述了一例急性缺血性中风患者在放置中心静脉导管后服用阿替普酶。一名82岁男性阵发性心房颤动患者，表现为左侧单侧空间忽略和左侧偏瘫。磁共振成像显示急性脑梗死位于右侧大脑，主动脉未闭塞。梗死被认为适合溶栓治疗。然而，即使是经过培训的急诊室医生也无法保证外周静脉通路的安全。因此，在右颈静脉放置中心静脉导管并进行溶栓。治疗后，神经功能缺损完全消失，无任何临床严重出血。在这种情况下，放置静脉导管可能是外周静脉通路的安全替代方法。

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来源
《Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association》 |2020年第11期|共3页
作者
Sakuta Kenichi; Nakada Ryoji; Miyagawa Shinji; Hasegawa Izumu; Yaguchi Hiroshi;
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作者单位

Jikei Univ Dept Neurol Kashiwa Hosp 163-1 Kashiwashita Kashiwa Chiba 2778567 Japan;

Jikei Univ Dept Neurol Kashiwa Hosp 163-1 Kashiwashita Kashiwa Chiba 2778567 Japan;

Jikei Univ Dept Neurol Kashiwa Hosp 163-1 Kashiwashita Kashiwa Chiba 2778567 Japan;

Jikei Univ Dept Emergency Med Kashiwa Hosp Chiba Japan;

Jikei Univ Dept Neurol Kashiwa Hosp 163-1 Kashiwashita Kashiwa Chiba 2778567 Japan;

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原文格式 PDF
正文语种 eng
中图分类神经病学与精神病学;
关键词
Thrombolysis; Central venous catheter; Ischemic stroke; Hemorrhagic complication;

机译：溶栓;中心静脉导管;缺血性中风;出血性并发症;

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1. Simpli? ed point-of-care ultrasound protocol to con?rm central venous catheter placement:A prospective study [J] . Sean P.Wilson, Samer Assaf, Shadi Lahham, 世界急诊医学杂志(英文版) . 2017,第001期
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机译：并发中央静脉支架和中心静脉接入装置放置在恶性中央静脉阻塞患者中不会损害支架通畅或导管功能
6. Placement of central venous port catheters and peripherally inserted central catheters in the routine clinical setting of a radiology department: analysis of costs and intervention duration learning curve [J] . Rotzinger Roman, Gebauer Bernhard, Schnapauff Dirk, Acta Radiologica . 2017,第12期

机译：在放射学部门的常规临床环境中放置中心静脉港导管和外围插入的中央导管：成本分析和干预持续时间学习曲线
7. Placement of central venous port catheters and peripherally inserted central catheters in the routine clinical setting of a radiology department: analysis of costs and intervention duration learning curve [J] . Rotzinger Roman, Gebauer Bernhard, Schnapauff Dirk, Acta Radiologica . 2017,第12期

机译：在放射学部门的常规临床环境中放置中心静脉港导管和外围插入的中央导管：成本分析和干预持续时间学习曲线
8. Automatic Identification of Blood Vessel Cross-section for Central Venous Catheter Placement using a Cascading Classifier [C] . Mohammad Ikhsan, Tan Kok Kiong, Andi Sudjana Putra, Annual International Conference of the IEEE Engineering in Medicine and Biology Society . 2017

机译：使用级联分类器自动识别中央静脉导管展示的血管横截面
9. An Educational Intervention to Reduce Central Venous Catheter Infection Rates [D] . Olajuyigbe, Bolanle. 2021

机译：减少中心静脉导管感染率的教育干预
10. Evaluation of a central venous catheter tip placement for superior vena cava–subclavian central venous catheterization using a premeasured length [O] . Hyun-Jung Kwon, Young-Il Jeong, In-Gu Jun, -1

机译：使用预先测量的长度评估上腔静脉-锁骨下中央静脉导管插入的中央静脉导管尖端放置
11. Wire Placement into the Dural Venous Sinuses during Central Venous Catheter Placement [O] . Aaron Trimble, Nathaniel Ivanick 2018

机译：在中央静脉导管位置期间将线放入硬膜静脉窦
12. Use of a Low-Concentration Heparin Solution to Extend the Life of Central Venous Catheters in the African Green Monkeys (Chlorocebus aethiops) [R] . Gamble, C. S. , Jacobsen, K. O. , Leffel, E. K. , 2006

机译：使用低浓度肝素溶液延长非洲绿猴（Chlorocebus aethiops）中心静脉导管的寿命

Thrombolysis Following Central Venous Catheter Placement

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