血液透析内瘘通路狭窄与闭塞的介入治疗

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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.

Key words： hemodialysis thrombolysis percutaneous transluminal angioplasty

Received: 22 March 2013

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	AI Peng
	DENG Chaopin
	WANG Hua
	CHEN Cong.

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https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2014/V44/I3/213

[1]	. [J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2022, 52(7): 595-597.