23ème cours congrès sociétéfrancophone abord vasculaire 7
TRANSCRIPT
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23ème Cours Congrès Société Francophone Abord Vasculaire
7 au 9 JUIN 2018
BORDEAUX
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Occlusion chronique des veines centrale et mise en place d’un cathéter : encoreune contre-indication ?
LUIGI NOVELLI
Clinique Alleray-Labrouste,Clinique du Parc Monceau
HPSJ Paris, FRANCE
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CHANGEMENT DE KT
1° INFECTION
2° THROMBOSE ?
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INFECTION:
A Comparison of Guide WireDirected Catheter Exchange (GWE) Versus Catheter Removal in Tunneled Hemodialysis Catheter (TDC)-Associated Bacteremia Anthony M. Valeri* Central Journal of Clinical Nephrology and Research
Conclusions: Guide wire-assisted catheter exchange (GWE) was a safe and effective method of treatment for all types of TDC-related bacteremias in the absence of sepsis or tunnel infection.
Malfunctioning and Infected Tunneled Infusion Catheters: Over-the-Wire Catheter Exchange versus Catheter Removal and ReplacementMay 2011Journal of vascular and interventional radiology: JVIR 22(5):642-6; .Catheter-exchange of tunneled infusion catheters results in a higher infection rate compared with removal-replacement at a new site
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THROMBOSE
Thrombose kt???
Thrombose veine ????
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SVP AVANT DE RETIRE UN KT CENTRALE ……
CALL A RADIOLOGIST
APPELEZ RADIOLOGUE/CHIR VASC
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Dilatation de veines centrales B. Dolmatch
2016, Ajaccio
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JUGULAIRE
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JUGULAIRE
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JUGULAIRE:PONCTION DIRECTE MEDIASTIN TBCV
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Occlusion TBCV
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Cardiovasc Intervent Radiol. 2003 MarApr;26(2):123-7.Incidence of central vein stenosis and occlusion following upper extremity PICC and port placement.Gonsalves CF1,
Initial : 2.6 % de lésions des TVP
7% incidence of central vein stenosis or occlusion was found in patients with prior indwelling catheters and normal initial venogram
9.6%
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Case Rep Radiol.Published online 2017 Apr 10. Gernot RottPort Placement via the Anterior Jugular Venous System: Case Report, Anatomic Considerations, and Literature Review
Echec de recanalisation
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Echec de recanalisation
Sivananthan•Vol. 16 Issue 4 | Jul-Aug 2015 JVA
Recanalisation avec un guide de radiofréquence • 24% des échecs
Sharp recanalization of central venous occlusions: a useful technique for haemodialysis line insertion.Athreya S Br J Radiol. 2009 Feb;82(974):105-8.
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Echec de recanalisationTrans collatéral technique
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GRAZIE PER LA VOSTRA ATTENZIONE