The diagnosis and treatment of fibrin shell formation of central verlous port access system#br#

doi:10.3969/j.issn.10073205.2016.09.014

Abstract

Abstract: [
Abstract ] Objective Toanalyzethediagnosisandtreatmentoffibrinshellformationof
centralverlousportaccesssystem ( CVPAS ) .Methods There were131casesofcatheter
dysfunctionofCVPAS.Byusingthedigitalsubtractionangiography ( DSA ) andtheexternal
interfaceofthebutterflywingneedleintheportalvein , thecontrastagentwasperformedin
vivo , andtheDSAexpressionwasanalyzed , andthetreatmenteffectwasobserved.Results
Fifty-onecasesoffibrinshellformationwerefoundbyDSA , whichaccountedfor38. 9% ofthe
venousportcatheterdysfunction ( 51 / 131 ) .Amongthose , 43caseswerelocalizedintheendofthe
catheter , 5casesofdiffusefibrousproteininthebody , and3casesofextensivefibroussheath
formation.DSAspecificimagingshowstheline , columnarandirregularhighdensityalongouter
wallofbodycatheterandparcelbodycatheter.Thediameterofparcelcatheterisobvious
thickening , Thecontrastagentrefluxintothevenacava
,
theimplantationsideofCVPASandthe infusionseat peripheralsubcutaneous sofetissue.Fifty one patients are given urokinase
treatment , 48casesCVPAscontinuetouse , 3casesCVPASanticipateextirpation.Thetreatment
successratesoflocal , diffuseandextensivefibrinshellformationgivenurokinasetreatmentare
respectively100. 0% ( 43 / 43 ), 100. 0% ( 5 / 5 ) vs 0. 0% ( 0 / 3 ) .Conclusion Thecausesofcatheter
diffusefibrinshellformationofCVPAScanbeevaluatedaccuratelybymeansoftheDSA.The
maincauseofcatheterdysfunctionisfibrinshellformation.Urokinasehasgoodtherapeuticeffect
onlocalfibrinshellformation.

Key words: infusions, intravenous , fibrinshellformation , angiography, digitalsubtraction

WANG Janxin1, WU Zhonglin2*, SUN Jinna1, WANG WeiNa1, XIE Yanli1, WANG JianPing1. The diagnosis and treatment of fibrin shell formation of central verlous port access system#br#[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2016.09.014.

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The diagnosis and treatment of fibrin shell formation of central verlous port access system#br#

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