AI Peng,DENG Chaopin,WANG Hua, et al. Management of failure and malfunction hemodialysis access with interventional radiology[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2014, 44(3): 213-215.
Abstract：Objective: To summarized the treating experiences of CDT and PTA in 8 cases with failure and malfunction hemodialysis access. Methods: Eight cases with failure and malfunction hemodialysis access were examined by angiography and treated by interventional management subsequently. Two cases of thrombosis occlusilon were treated with thrombolytic therapy and 6 cases of malfunctioning hemodialysis access were done with PTA.Results: The initial angiogram showed 6 patients with simple stenosis while 2 patients with thrombosis occlusion,with concurrent stenosis in 1 patients. The interventional therapy was successful in 7 cases, 1 of the 7 cases concurrent with stenosis and 6 cases with simple stenosis while the other one confronted failure. Follow up was made in 8 patients concurrent with stenosis without further management and 1 patient failed to conduct PTA was recanalized afterward. Conclusion: Angiography and subsequent interventional management play a critical role in the diagnosis and treatment of failure and malfunction hemodialysis access.
