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使用覆盖动静脉吻合口的支架挽救股部透析回路移植物的亚急性功能衰竭。

Salvage of a subacute failure in femoral dialysis loop graft using stent covering the arterial and venous anastomosis.

作者信息

Rabellino M, Garcia-Nielsen L, Baldi S, Zander T, Blasco O, Maynar M

机构信息

Department of Endovascular Therapy, Hospital Hospiten, Santa Cruz de Tenerife, Spain.

出版信息

Minim Invasive Ther Allied Technol. 2010 Aug;19(4):248-50. doi: 10.3109/13645701003644178.

Abstract

Endovascular treatment can be considered the first line therapy in the majority of dysfunctioning arteriovenous fistula. However, when early thrombosis of the arteriovenous access occurs, surgical treatment is recommended. In these cases, technical problems are the most frequent cause of the malfunction. We report a case of a subacute thrombosis of an arteriovenous fistula, femoral artery to femoral vein looped ePTFE with venous anastomosis occlusion and subocclusion lesion at the arterial anastomosis. Both anastomoses were treated using self-expandable stents, and no other intervention was necessary until the one-year follow-up for maintain patency.

摘要

血管内治疗可被视为大多数功能不良动静脉瘘的一线治疗方法。然而,当动静脉通路早期发生血栓形成时,建议进行手术治疗。在这些病例中,技术问题是功能障碍最常见的原因。我们报告了一例动静脉瘘亚急性血栓形成的病例,即股动脉至股静脉的带环膨体聚四氟乙烯移植物,静脉吻合口闭塞,动脉吻合口有次全闭塞病变。两个吻合口均使用自膨式支架进行治疗,在为期一年的随访中为维持通畅无需进行其他干预。

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