前臂远端穿孔静脉和深静脉系统在支持鼻咽管瘘管通畅中的作用--病例报告

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-09-19 DOI:10.1016/j.jvscit.2024.101635

Maciej Gołębiowski , Mariusz Kusztal MD, PhD , Maciej Szymczak MD, PhD , Andrzej Konieczny MD, PhD , Mirosław Banasik MD, PhD , Dariusz Janczak MD, PhD , Pierre Bourquelot MD, PhD , Tomasz Gołębiowski MD, PhD

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引用次数: 0

摘要

本手稿旨在描述一名因局灶节段性肾小球硬化症而患有慢性肾病的 66 岁患者的临床病程。出院时，动静脉瘘的蠕动正常。两个月后，双相检查发现头静脉前臂中段出现了之前未曾发现的阻塞；深静脉系统的穿孔器维持了血流，使血液回流到闭塞处上方的上臂头静脉。随后在手腕处进行了第二次放射吻合术，以增加血流量。瘘管在 12 周成熟后成功插管。

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The role of a distal forearm perforating vein and deep vein system in supporting patency of a snuffbox fistula – A case report

The purpose of this manuscript is to describe the clinical course of a 66-year-old patient with chronic kidney disease due to focal segmental glomerulosclerosis in whom an access arteriovenous fistula was created in the anatomical snuffbox. At discharge, the fistula thrill was normal. Two months later, a duplex examination revealed previously unrecognized obstruction of the mid-forearm segment of the cephalic vein; flow was maintained by a perforator into the deep venous system, which returned blood to the upper arm cephalic vein above the occlusion. A second, subsequent radiocephalic anastomosis was performed in the wrist to augment flow. The fistula was successfully cannulated after 12 weeks of maturation.

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.