التفاصيل البيبلوغرافية
| العنوان: |
Challenges of Post-Venipuncture Jugular Venous Thrombosis in Patients with Secondary Hyperparathyroidism: A Case Report. |
| المؤلفون: |
Jian Zeng, Li Zhao, Hui Jiang, Xiongtiao Yang, Lin Liao, Yanli Zhang, Hongyi Lei |
| المصدر: |
American Journal of Case Reports; 2/21/2024, Vol. 25, p1-5, 5p |
| مصطلحات موضوعية: |
VENOUS thrombosis, HYPERPARATHYROIDISM, ARTERIAL calcification, CENTRAL venous catheters, JUGULAR vein |
| مستخلص: |
Objective: Unusual clinical course. Background: Hyperparathyroidism is a common issue in patients on long-term hemodialysis, necessitating parathyroidectomy with deep venipuncture. These patients frequently exhibit a heightened incidence of vascular calcification, complicating deep venipuncture and increasing the risk of associated complications. Therefore, a crucial aspect of preoperative assessment in this population involves identifying vascular calcification, with a preference for ultrasound-guided intraplane puncture. Special care is required to prevent blood vessel injuries and postoperative complications such as deep vein thrombosis. Case Report: We present the case of a 66-year-old woman with secondary hyperparathyroidism who encountered challenges during an internal jugular vein puncture, leading to subsequent thrombosis. Initial attempts were hindered by calcification of the internal jugular vein's vascular wall, resulting in stratified damage to the vessel's wall. However, the ultrasound-guided in-plane puncture technique successfully allowed the insertion of a central venous catheter without further damage to the vascular wall. On the postoperative fourth day, thrombus formation was observed in the damaged vascular wall from the initial puncture. Conclusions: The ultrasound-guided in-plane puncture technique is advantageous in overcoming the difficulties associated with puncturing through deep vein calcification in patients with secondary hyperparathyroidism. This technique also diminishes the likelihood of complications such as venous thrombosis. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
