大腿静脈カテーテルの上行腰静脈迷入についての検討  [in Japanese] Assessment of femoral central venous catheter misplacement in the ascending lumbar vein  [in Japanese]

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Abstract

<b>目的</b> : 大腿静脈カテーテル留置時に上行腰静脈へ迷入すると, 後腹膜血腫等の合併症を引き起こす可能性がある. しかし, カテーテルの迷入についてはあまり認識されていない.<br><b>方法</b> : 2011年4月から2013年3月の間に当院で大腿静脈カテーテルを留置した患者107名を対象とし後ろ向きに検討した.<br><b>結果</b> : 上行腰静脈への迷入は11/110回 (10.0%) で認め, 左側で5/34回 (14.7%) , 右側で6/76回 (7.9%) だった. 位置確認の腹部レントゲン検査で, カテーテルが側方へ変位している場合, 頭側に急峻に立ち上がる場合に迷入の可能性があった.<br><b>結論</b> : カテーテル迷入は稀では無く, 迷入が疑われれば積極的に腹部CT, 側面レントゲン等の追加の検査が必要である.

<b>Introduction</b> : Catheter which strays in the ascending lumbar vein during femoral vein catheterization can cause complications such as retroperitoneal hematoma. However, not much is known of this phenomenon.<br><b>Methods</b> : We retrospectively studied 107 patients who had indwelling femoral vein catheter in our hospital between March 2013 and April 2011.<br><b>Results</b> : The catheter went straying in the ascending lumbar vein 11/110 times (10.0%) , 5/34 times (14.7%) on the left side, and 6/76 times (7.9%) on the right side. The possibility of the catheter straying was maximum when the catheter was displaced laterally or raised sharply towards the caudal side, as seen through abdominal radiographic examination.<br><b>Conclusion</b> : Femoral central venous catheter misplacement in the ascending lumbar veins is fairly common. Tests such as additional abdominal CT or radiographs should be conducted if misplacement is suspected.

Journal

  • An Official Journal of the Japan Primary Care Association

    An Official Journal of the Japan Primary Care Association 37(3), 233-237, 2014

    JAPAN PRIMARY CARE ASSOCIATION

Codes

  • NII Article ID (NAID)
    130004691981
  • NII NACSIS-CAT ID (NCID)
    AA12479442
  • Text Lang
    JPN
  • ISSN
    2185-2928
  • NDL Article ID
    025835530
  • NDL Call No.
    Z19-983
  • Data Source
    NDL  J-STAGE 
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