Assessment of Internal Jugular Vein Thrombosis Due to Central Venous Catheter in Hemodialysis Patients: A Retrospective and Prospective Serial Evaluation With Ultrasonography
Assessment of Internal Jugular Vein Thrombosis Due to Central Venous Catheter in Hemodialysis Patients: A Retrospective and Prospective Serial Evaluation With Ultrasonography
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DOI：
10.1177/1076029611432739
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发表时间：
2012-11-01
影响因子：
2.9
通讯作者：
Avcu, Serhat
中科院分区：
文献类型：
--
作者：
Yardim, Hasan;Erkoc, Reha;Avcu, Serhat
目的：我们的目的是评估血液透析患者导管相关颈内静脉（IJV）血栓形成的频率、相关因素以及IJV的解剖变异。材料与方法：对血液透析患者进行B超检查。前瞻性组的参与者在导管插入前、导管插入后10天、导管移除时和移除后15天使用USG进行评估。结果：血栓形成率随导管插入次数的增加而增加。在接受导管插入一次、两次和三次的患者中，这些比率分别为14%、15%和47%（P <0.05）。在回顾性病例中，颈内静脉解剖变异占21%。未发现解剖变异与血栓形成之间以及某些生化指标与血栓形成之间存在显著相关性。结论：透析患者导管相关性下腔静脉血栓形成较常见。留置导管时间长、反复导尿增加血栓形成率。
Aim: We aimed to evaluate the frequency of catheter-related internal jugular vein (IJV) thrombosis, associated factors, and the anatomical variations of IJV in hemodialysis patients. Material and methods: Hemodialysis patients were evaluated with B-mode ultrasonography (USG). Participants in the prospective group were evaluated using USG prior to catheter insertion, 10 days after catheter insertion, at the time of catheter removal, and 15 days after removal. Results: The rate of thrombosis was increased correlated with the number of catheter insertions. These rates were 14%, 15%, and 47% in those undergoing catheter insertion once, twice, and three times, respectively (P < .05). The anatomical variations of IJV were 21% in the retrospective cases. No significant relationship was found between anatomical variations and thrombosis and between some biochemical parameters and thrombosis. Conclusion: Catheter-related IJV thrombosis is frequent in hemodialysis patients. Long catheter remaining time and repeated catheterization increase the thrombosis rate.