From Venous to Arterial Blood in the Same Tunneled Dialysis Catheter After Starting a Continuous Renal Replacement Therapy: A Case Report.

IF 1.4 4区医学 Q3 UROLOGY & NEPHROLOGY

Seminars in Dialysis Pub Date : 2024-12-17 DOI:10.1111/sdi.13235

Amandine Becquet, Pierre Louis Hermet, Dominique Bertrand, Amandine Verbecke, Maximilien Grall, Christophe Girault, Jonathan Nicolas

引用次数: 0

Abstract

Tunneled dialysis catheter is the alternative for dialysis patients who cannot benefit from an arteriovenous fistula. The insertion of such catheters is usually ultrasound-guided to prevent complications. A 36-year old patient had an unexpected complication following the insertion of a right femoral tunneled dialysis catheter: Although the blood collected from the catheter was venous after insertion, the blood turned arterial few minutes after initiating a continuous renal replacement therapy (CRRT). It became venous again after stopping the therapy. The first, yet unlikely hypothesis, was an arterial location of the catheter. In fact, it turned out not to be. We describe the management of such a case.

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隧道式透析导管是无法从动静脉瘘中获益的透析患者的替代选择。这种导管的插入通常在超声引导下进行，以防止并发症的发生。一名 36 岁的患者在插入右股静脉隧道式透析导管后出现了意想不到的并发症：虽然导管插入后采集的血液是静脉血，但在开始持续肾脏替代疗法（CRRT）几分钟后，血液变成了动脉血。停止治疗后，血液又变成了静脉血。第一个不太可能的假设是导管位于动脉。但事实证明并非如此。我们将介绍此类病例的处理方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Dialysis 医学-泌尿学与肾脏学

CiteScore

3.00

自引率

6.20%

发文量

审稿时长

4-8 weeks

期刊介绍： Seminars in Dialysis is a bimonthly publication focusing exclusively on cutting-edge clinical aspects of dialysis therapy. Besides publishing papers by the most respected names in the field of dialysis, the Journal has unique useful features, all designed to keep you current: -Fellows Forum -Dialysis rounds -Editorials -Opinions -Briefly noted -Summary and Comment -Guest Edited Issues -Special Articles Virtually everything you read in Seminars in Dialysis is written or solicited by the editors after choosing the most effective of nine different editorial styles and formats. They know that facts, speculations, ''how-to-do-it'' information, opinions, and news reports all play important roles in your education and the patient care you provide. Alternate issues of the journal are guest edited and focus on a single clinical topic in dialysis.