局解手术学杂志2017，Vol.26Issue(6)：431-434,4.DOI:10.11659/jjssx.02E017039
维持性血液透析患者中心静脉闭塞的介入治疗
Interventional treatment of central vein occlusion in maintenance hemodialysis patients
张辉 1张小勤 1牟玮1
作者信息
- 1. 第三军医大学西南医院放射科介入病区,重庆 400038
- 折叠
摘要
Abstract
Objective To observe the effectiveness of the percutaneous transluminal angioplasty (PTA) and percutaneous transluminal stenting (PTS) for central vein occlusion in maintenance hemodialysis patients.Methods From January 2010 to August 2015,a total of 42 patients with center vein occlusion of arteriovenous fistula were treated with maintenance hemodialysis,and the surgery and postoperative conditions,revascularization and improvement of vascular stenosis were observed.Results Among the 42 patients,38 cases were successfully carried out with PTA,and the patency rate was 90.5%(38/42).A total of 32 intravascular stents were placed in 30 patients whose vein stenosis were still greater than 30% after PTA.After surgery,the swelling of the patient receded rapidly and the internal fistula went back to normal.Conclusion PTA and PTS are effective methods for maintenance hemodialysis patients with central vein occlusion,and they could help protecting functional access in patients with autogenous fistulas with smaller wounds and faster effects.关键词
血液透析通路/中心静脉闭塞/经皮腔内球囊血管成形术/血管内支架植入术Key words
maintenance hemodialysis/central vein occlusion/percutaneous transluminal angioplasty/percutaneous transluminal stenting分类
医药卫生引用本文复制引用
张辉,张小勤,牟玮..维持性血液透析患者中心静脉闭塞的介入治疗[J].局解手术学杂志,2017,26(6):431-434,4.
