Kim Dong Hun, Goo Dong Erk, Yang Seung Boo, Moon Cheul, Choi Deuk Lin
Department of Radiology, Chosun University Hospital.
Korean J Radiol. 2005 Jul-Sep;6(3):185-95. doi: 10.3348/kjr.2005.6.3.185.
Endovascular procedures are becoming the standard type of care for the management of hemodialysis vascular access dysfunction. As with any type of medical procedure, these techniques can result in procedure-related complications, although the expected number of complications is low. The clinical extent of these complications varies from case to case. Management of these cases depends on the clinical presentation. Major complications such as vein rupture, arterial embolism, remote site bleeding or hematoma, symptomatic pulmonary embolism and puncture site complications necessitating treatment require major therapy. Minor complications such as non-flow compromising small puncture site hematoma or pseudoaneurysms require little or no therapy. It is essential that the interventionist be prepared to manage these complications appropriately when they arise.
血管内介入手术正成为治疗血液透析血管通路功能障碍的标准治疗方式。与任何类型的医疗手术一样，这些技术可能会导致与手术相关的并发症，尽管预期的并发症数量较少。这些并发症的临床严重程度因病例而异。这些病例的管理取决于临床表现。诸如静脉破裂、动脉栓塞、远处部位出血或血肿、有症状的肺栓塞以及需要治疗的穿刺部位并发症等主要并发症需要进行主要治疗。诸如不影响血流的小穿刺部位血肿或假性动脉瘤等轻微并发症则几乎不需要或无需治疗。当这些并发症出现时，介入医生必须做好适当处理的准备，这一点至关重要。
