Acceso vascular para hemodiálisis con prótesis de politetrafluoroetileno: reporte de un caso / Vascular access for hemodialysis with polytetrafluoroethylene prosthesis: a case report
Arch. méd. Camaguey
; 12(2)mar.-abr. 2008. ilus
Article
em Es
| CUMED
| ID: cum-36205
Biblioteca responsável:
CU1.3
Localização: CU1.3
RESUMEN
Se presenta el caso de una paciente del servicio de Nefrología que se encuentra integrada al programa de hemodiálisis desde hace cinco años por presentar una insuficiencia renal crónica irreversible, no apta para trasplante, con múltiples accesos vasculares convencionales realizados (directos y protésicos) que han fracasado por deterioro progresivo y generalizado del sistema vascular (arterial y venoso), debido al efecto de la dolencia asociada a la enfermedad renal y las desencadenadas por la intervención terapéutica. Por tal motivo se intervino quirúrgicamente y se le realizó un acceso vascular a nivel de la región inguinal derecha con el objetivo de conectar el sistema venoso con el arterial mediante una prótesis artificial de politetrafluoroetileno que se implantó en forma de asa y en planos superficiales para facilitar el acceso al mismo(AU)
ABSTRACT
A case of a patient of the Nephrology service is presented that is integrated to the hemodialysis program since five years ago by presenting an irreversible chronic renal failure, not able for transplant, with multiple conventional vascular accesses carried out (direct and prosthetic) that have failed by progressive and generalized decay of the vascular system (arterial and venous), due to the effect of the associated pain to the renal disease and the triggering ones by the therapeutic intervention. Because of that was surgically intervened and a vascular access at the level of the right inguinal region was performed with the objective to connect the venous system with the arterial one by means of an artificial prosthesis of polytetrafluoroethylene that was implanted in the form of a loop and in superficial planes to facilitate the access to the same one. The use of prosthetic implants of polytetrafluoroethylene in the surgery of vascular access for hemodialysis is a first election alternative when the conventional methods fail(AU)
Texto completo:
1
Coleções:
06-national
/
CU
Base de dados:
CUMED
Assunto principal:
Cateteres de Demora
/
Diálise Renal
/
Insuficiência Renal Crônica
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
Es
Revista:
Arch. méd. Camaguey
Ano de publicação:
2008
Tipo de documento:
Article