球囊辅助经皮穿刺术置入颈部长期透析导管的临床经验

Clinical experience of REcanalisation and balloon-oriented puncture for Re-insertion of longterm dialysis catheter in nonpatent central veins

血液透析患者颈内静脉和无名静脉严重狭窄或闭塞后,再次经颈部置入长期透析导管常存在困难。我们利用球囊辅助经皮穿刺术(REcanalisation and balloon-oriented puncture for Re-insertion of dialysis catheter in nonpatent central veins,REBORN)对7例中心静脉病变严重的患者成功置入颈部长期透析导管,术中无气胸、血胸、肺栓塞等严重并发症,术后随访2个月导管功能良好。REBORN为建立困难透析通路提供了一种新方法。

It is difficult to insert long-term dialysis catheters after severe stenosis or occlusion of the internal jugular vein and innominate vein.We used REcanalisation and balloon-oriented puncture for Re-insertion of dialysis catheter in nonpatent central veins(REBORN)in seven patients with severe central venous lesions,and all patients were inserted with long-term dialysis catheters successfully.None had severe complications such as pneumothorax,hemothorax,or pulmonary embolism during operation.All catheters functioned well after postoperative follow-up of 2 months.REBORN provides a novel approach to establish difficult dialysis pathways.