[Pubmed] Use of the Superficialized Brachial Artery as Vascular Access for a Patient with Myasthenia Gravis with a Frequ
Posté : 14 janv. 2024 12:00
Intern Med. 2024 Jan 13. doi: 10.2169/internalmedicine.2990-23. Online ahead of print.
ABSTRACT
A 41-year-old woman diagnosed with seronegative myasthenia gravis struggled to maintain remission for a decade, facing crises every 3 months for several years. After repeated apheresis using a non-tunneled non-cuffed central venous dialysis catheter (NTNCC), complications such as catheter-related thrombus in the internal jugular veins and morbid obesity from steroids made the insertion of NTNCC increasingly difficult, leading to consideration of an alternative permanent vascular access (VA) approach. Thus, we created a subcutaneously superficialized brachial artery as the VA, which allowed the patient to undergo safe and uninterrupted apheresis therapy.
PMID:38220192 | DOI:10.2169/internalmedicine.2990-23
Source: https://pubmed.ncbi.nlm.nih.gov/3822019 ... 5&v=2.18.0