North Shore-Long Island Jewish Health System, Manhasset, NY, USA.
Semin Vasc Surg. 2011 Jun;24(2):82-8. doi: 10.1053/j.semvascsurg.2011.05.010.
Balloon angioplasty maturation is emerging as an important method to increase utilization and improve function of autogenous arteriovenous hemodialysis accesses (AVFs). Through the sequential dilation of small veins, large-diameter AVFs can be created with the inherent benefits of easier cannulation, greater overall surface area, improved patency, and fewer complications. A usable AVF can be created in a shorter amount of time, decreasing the need for dialysis catheters. In addition, selective angioplasty of the AVF inflow and outflow can facilitate improved flow rates and increase access longevity. Our approach, including primary balloon angioplasty during AVF creation, sequential balloon angioplasty maturation, and surveillance fistulagrams will be presented.
球囊血管成形术成熟正在成为增加自体动静脉血液透析通路（AVF）利用率和改善其功能的重要方法。通过对小静脉的连续扩张，可以创建大直径的 AVF，具有更容易插管、更大的总表面积、改善通畅性和更少并发症的固有优势。可以在更短的时间内创建可用的 AVF，减少对透析导管的需求。此外，选择性扩张 AVF 的流入和流出可以促进改善流量并增加通路的寿命。我们的方法包括在 AVF 形成时进行初次球囊血管成形术、序贯球囊血管成形术成熟和监测血管造影片，将进行介绍。
