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一种纠正血液透析移植物继发血管窃血的新技术。

A new technique to correct vascular steal secondary to hemodialysis grafts.

作者信息

Jain K M, Simoni E J, Munn J S

机构信息

Michigan State University, Kalamazoo Center for Medical Studies.

出版信息

Surg Gynecol Obstet. 1992 Aug;175(2):183-4.

PMID:1636145
Abstract

Three patients are described who developed symptomatic steal distal to hemodialysis grafts, documented by angiodynography. Intraoperatively, the graft was plicated to increasing depths while using angiodynography over the radial and ulnar artery. When the flow became antegrade, the plication was stopped, resulting in salvageable grafts. Using the technique, all three patients had long use of the graft after the steal was corrected.

摘要

本文描述了3例在血液透析移植物远端出现症状性窃血的患者,经血管造影证实。术中,在桡动脉和尺动脉上使用血管造影术的同时,将移植物折叠至更深的深度。当血流变为顺行时,停止折叠,从而挽救了移植物。使用该技术,所有3例患者在窃血纠正后移植物均长期可用。

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