Layne T A, Finck E J, Boswell W D
AJR Am J Roentgenol. 1978 Dec;131(6):1027-30. doi: 10.2214/ajr.131.6.1027.
Transcatheter occlusive therapy is finding widespread clinical application. Numerous types of occlusive devices have been described. This report details the first three cases of occlusion of the arterial supply to arteriovenous fistulas with Gianturco stainless steel coils. Patients benefiting from this approach include those who refuse or cannot tolerate surgery, those in whom previous surgery failed, and those with chronic fistulas in whom surgery is likely to fail. The angiographer should make sure the coil is completely within the desired vessel, the feeding vessel is smaller than the coil to prevent passage through the fistula, and there is adequate collateral flow to distal organs to prevent infarction after occlusion of a major artery. This technique is useful as a nonsurgical treatment for a variety of arteriovenous fistulas and is within the capability of any experienced angiographer.
经导管闭塞治疗正在得到广泛的临床应用。已经描述了多种类型的闭塞装置。本报告详细介绍了使用吉特龙不锈钢圈闭塞动静脉瘘动脉供血的前三例病例。受益于这种方法的患者包括那些拒绝或无法耐受手术的患者、既往手术失败的患者以及手术可能失败的慢性瘘患者。血管造影师应确保圈完全位于所需血管内，供血血管小于圈以防止其通过瘘管，并且有足够的侧支血流供应远端器官以防止主要动脉闭塞后发生梗死。这项技术作为多种动静脉瘘的非手术治疗方法很有用，并且任何有经验的血管造影师都可以掌握。
