A Case Report of a Direct Catheterization of Tunneled Cuffed Catheter via Superior Vena Cava: A Choice after Vascular Access Exhaustion

作者：Cui, Tianlei; Zhao, Qiuyan; Zhou, Li^*; Li, Xiao; Fu, Ping

来源：Blood Purification, 2015, 40(1): 79-83.

DOI：10.1159/000430905

• Intervention
• Superior vena cava
• Vascular access exhaustion
• Catheterization
• Tunneled cuffed hemodialysis catheter

Purpose: To establish a new way for long-term vascular access for dialysis patient with vascular access exhaustion. Materials and Methods: A patient with diabetes was found with edema of right arm and high venous pressure of AVF during hemodialysis. Intervention operations were performed to establish a tunneled cuffed catheterization. Results: Occlusion of innominate vein was confirmed by MDC-TV. Puncture to superior vena cava was successful 0.5 cm below the lateral head of sternocleidomastoid muscle directly via the right neck area. Conclusion: Direct puncture via superior vena cava might be the last choice for catheter insertion site. choice for catheter insertion site.

• 出版日期2015
• 单位四川大学