A case of surgical treatment combined with interventional therapy for refractory hemodialysis access with catheter-related right atrial thrombosis.

IF 1.6 3区医学 Q3 PERIPHERAL VASCULAR DISEASE

Journal of Vascular Access Pub Date : 2025-01-16 DOI:10.1177/11297298241313005

Shao-Fen Wang, Zheng-Jin Xu, Tian-Lei Cui

引用次数: 0

Abstract

This case report describes a surgical treatment combined with interventional therapy for a patient with refractory hemodialysis access combined with catheter-related right atrial thrombosis (CRAT). During surgery, an artificial graft was established from the left brachiocephalic vein to the right atrium and the right atrial thrombus was removed. After the operation, the tunneled cuffed catheter (TCC) was replaced with digital subtraction angiography (DSA). The hemodialysis access issue was addressed for this patient, and the access remained functional for normal hemodialysis during the subsequent 10-month follow-up.

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手术联合介入治疗难治性血液透析通路伴导管相关性右心房血栓1例。

本病例报告描述了一例难治性血液透析通路合并导管相关性右心房血栓形成（CRAT）患者的手术联合介入治疗。在手术中，从左头臂静脉到右心房建立了人工移植物，并清除了右心房血栓。术后，用数字减影血管造影（DSA）代替隧道导管（TCC）。该患者的血液透析通路问题得到了解决，在随后10个月的随访中，正常血液透析通路仍然有效。

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

Journal of Vascular Access 医学-外周血管病

CiteScore

3.40

自引率

31.60%

发文量

181

审稿时长

6-12 weeks

期刊介绍： The Journal of Vascular Access (JVA) is issued six times per year; it considers the publication of original manuscripts dealing with clinical and laboratory investigations in the fast growing field of vascular access. In addition reviews, case reports and clinical trials are welcome, as well as papers dedicated to more practical aspects covering new devices and techniques. All contributions, coming from all over the world, undergo the peer-review process. The Journal of Vascular Access is divided into independent sections, each led by Editors of the highest scientific level: • Dialysis • Oncology • Interventional radiology • Nutrition • Nursing • Intensive care Correspondence related to published papers is also welcome.