Mehmet Şerif ALP, Ebru ÇANAKÇI, İlker COŞKUN, Ahmet KARATAŞ

Sağ Atriumda Tespit Edilen Kalıcı Hemodiyaliz Kateter Ucu: Olgu Sunumu

Vasküler giriş yolları, tipleri ve yol açtıkları komplikasyonlar, hemodiyaliz hastalarında morbiditeyi,mortaliteyi ve sağlık harcamalarını etkileyen en önemli nedenlerden biridir.Ellidokuz yaşında bayan hasta, yaklaşık 5 aydır KBY mevcut idi.Kateterinin çalışmaması üzerine kalpdamar cerrahisi tarafından kalıcı kateteri çekilmiş,juguler venden geçici HD kateteri takılmış idi.Hasta kateter çekilmesinden sonra çekilen P-A akciğer grafisinde sağ atriumda yabancı cisim fark edilmesi üzerine hastanemize yeniden geri gönderildi.Yabancı cismin hastanın çıkarılan kalıcı kateterinin ucu olduğu fark edildi ve kalp damar cerrahisi tarafından lokal anestezi altında endovasküler forseps kullanılarak noninvaziv yöntemle çıkarıldı.Görüntüleme yöntemlerini kullanarak kateterin tam olarak çıktığının teyit edilmesi akılcı bir yaklaşım olabilir.Bu olgu sunumundaki amacımız, HD kateteri çekilmesi sırasında oluşan komplikasyonları literatür eşliğinde sunmaktır.

Anahtar Kelimeler:

sağ atriumda yabancı cisim, kalıcı hemodiyaliz kateteri, komplikasyon

Permanent Hemodialysis Catheter Tip Detected in the Right Atrium: A Case Report

Vascular access routes and types and complications of them are among the most important reasons affecting morbidity, mortality and health expenditures in hemodialysis patients. A 59-year-old female patient had CKD for 5 months. Since the catheter did not work, the permanent catheter was removed by the cardiovascular surgeon and a temporary HD catheter was inserted through the jugular vein. A foreign body was noticed in the right atrium in the postero-anterior chest X-ray. It was noticed that the foreign body was the tip of the permanent catheter that was removed. The foreign body was removed by non-invasive methods using endovascular forceps under local anesthesia by cardiovascular surgery. It may be a rational approach to confirm that catheter is completely removed by using imaging methods. The aim of this case report was to present the complications that occur during the removal of HD catheters in the light of the literature

Keywords:

foreign body, right atrium hemodialysis, catheter, complication,

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