Application of percutaneous transluminal balloon dilatation in patients with catheter-related central vein disease
10.3760/cma.j.issn.1001-7097.2019.07.001
- VernacularTitle:球囊扩张成形术在导管相关中心静脉病变再置管中的应用
- Author:
Yongchun HE
1
;
Hua JIANG
;
Ping ZHANG
;
Xin LEI
;
Jianyang CHEN
;
Hao YANG
;
Jianghua CHEN
Author Information
1. 浙江大学附属第一医院肾脏病中心
- Keywords:
Angioplasty,balloon;
Catheterizations,central venous;
Treatment outcome;
Catheter replacement
- From:
Chinese Journal of Nephrology
2019;35(7):481-485
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application of percutaneous transluminal balloon dilatation (PTA) in catheter replacement within patients with catheter-related central vein disease (CVD). Methods Thirteen cases of CVD patients from Jan 2015 to Mar 2018 admitted into the First Affiliated Hospital of Zhejiang University were retrospectively analyzed. All of them underwent digital subtraction angiography (DSA) to clarify problem origin. Suitable balloons were chosen to dilate the original catheters or the occlusive veins, and then the original catheters were replaced. PTA was used to help catheter replacement and all patients were followed up for 6 months. Results Four of the 13 patients were found stuck when replacing catheters. All of them successfully had catheters removed with PTA (Hong's techniques). All patients had successfully catheter replacement with blood flow volume>250 ml/min. Among 4 patients with edema, 3 patients showed better within 6 months. Only 3 patients needed warfarin to keep blood flow volume>250 ml/min within 6 months. Conclusions PTA shows advantages of lesser trauma, better tolerance and higher success rate in patients with catheter-related CVD. It can also relieve symptoms resulting from occlusive central vein.
