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Cirugía Cardiaca en México

ISSN 2448-5640 (Print)
Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.
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2019, Number 4

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Cir Card Mex 2019; 4 (4)

Surgical treatment in vascular injury by central vascular access

Salazar-Hernández I, Ramírez-Castañeda S, Flores-Calderón O, Ortega-Zhindón DB, Yépez-Ramos DP, Ferreyro-Espinosa K
Full text How to cite this article

Language: English
References: 10
Page: 107-109
PDF size: 99.82 Kb.


Key words:

Central access, Mini-sternotomy, Thoracoscopy, Vascular lesion, VATS.

ABSTRACT

Objective. To describe the surgical approach used in vascular injuries caused by the placement of central access in the General Hospital of Mexico during the period of 4 years. Material. A series of cases was made in the general hospital of Mexico "Dr. Eduardo Liceaga", during the period from March 2016 to March 2019, where patients undergoing vascular repair were considered as a complication of central access. Results. A total of 18 patients were operated; the prevalence was female (61%), with an average age of 49 ± 10 years. The majority of patients were from the nephrology service (55.5%). The most frequent vascular access was right anterior jugular with 61%, deriving from this that the main vascular structure affected was the right subclavian vein with 44%. Conclusions. Central access is the very common procedure in the hospital units which are not exempt from complications and these are seen more frequently in teaching hospitals like ours, there are 4 types of surgical approach for their management presenting a good percentage of success including minimally invasive accesses such as VATS.


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Cir Card Mex. 2019;4