Poulain F, Raynaud A, Bourquelot P, Knight C, Rovani X, Gaux J C
Cardiovascular Department of Radiology, Paris 6th University, Broussais Hospital, France.
Cardiovasc Intervent Radiol. 1991 Mar-Apr;14(2):98-101. doi: 10.1007/BF02577703.
Sixty-four thrombosed hemodialysis fistulas in 55 patients were treated by local low-dose infusion of urokinase, percutaneous angioplasty, and thromboaspiration. Lysis was initially successful in 38 cases (59%) without any negative side effects. At 1 year, 59% of these fistulas were still functional. When the procedures failed, surgery saved the vascular access in 17 cases. Local fibrinolysis combined with thromboaspiration and angioplasty provides a clinically useful means of access preservation.
55例患者的64个血栓形成的血液透析瘘采用局部小剂量输注尿激酶、经皮血管成形术和血栓抽吸术进行治疗。最初38例（59%）溶栓成功，且无任何不良副作用。1年后，这些瘘中有59%仍可使用。当这些操作失败时，手术挽救了17例患者的血管通路。局部纤维蛋白溶解联合血栓抽吸术和血管成形术为保留血管通路提供了一种临床有用的方法。
