动静脉血液透析移植物血栓形成后取栓时机对其存活的影响。
Effect of timing of thrombectomy on survival of thrombosed arteriovenous hemodialysis grafts.
作者信息
Rabin Igor, Shani Michal, Mursi Jabir, Peer Amir, Beberashvili Ilia, Bass Arie, Feldman Leonid
机构信息
Department of Vascular Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.
出版信息
Vasc Endovascular Surg. 2013 Jul;47(5):342-5. doi: 10.1177/1538574413487442. Epub 2013 Apr 30.
BACKGROUND
The use of an arteriovenous (AV) graft for hemodialysis is associated with a relatively high rate of thrombosis. Unfortunately, the urgent thrombectomy is not always readily available. Our aim was to investigate a possible association between the timing of thrombectomy and the patency rates of AV grafts.
METHODS
A retrospective single-center study on patients who underwent thrombectomy of clotted AV grafts was conducted. According to the time of thrombectomy, all patients were divided into 4 groups.
RESULTS
Primary graft patency at 6 months after thrombectomy was 28.3%, with no significant difference between the study groups (P = .161). Secondary graft patency at 6 months was significantly worse in the group that underwent thrombectomy between the third and fifth days than in the whole cohort: 15.4% versus 45.6% (P = .038).
CONCLUSIONS
Timing of thrombectomy of a clotted AV graft may have a significant impact on the graft survival.
背景
动静脉（AV）移植物用于血液透析时血栓形成率相对较高。不幸的是，紧急血栓切除术并非总能轻易获得。我们的目的是研究血栓切除术时机与AV移植物通畅率之间可能存在的关联。
方法
对接受血栓形成的AV移植物血栓切除术的患者进行了一项回顾性单中心研究。根据血栓切除术时间，将所有患者分为4组。
结果
血栓切除术后6个月的初次移植物通畅率为28.3%，各研究组之间无显著差异（P = 0.161）。在第3天至第5天接受血栓切除术的组中，6个月时的二次移植物通畅率明显低于整个队列：分别为15.4%和45.6%（P = 0.038）。
结论
血栓形成的AV移植物血栓切除术的时机可能对移植物存活有显著影响。
Zotero 插件