Schumacher K A, Wallner B, Weidenmaier W, Friedrich J M
Röntgendiagnostische Abteilung der Radiologischen Klinik und Poliklinik des Klinikums der Universität Ulm.
Rofo. 1989 Feb;150(2):198-201. doi: 10.1055/s-2008-1047005.
On 78 patients with dysfunction of haemodialysis vascular access (predominantly poor flow) systematic radiographic evaluation was performed. In all cases arteriography was carried out, followed by venous angiography in patients exhibiting occlusion of the arteriovenous fistula or the graft, respectively. In 11 cases (14%) occlusion or significant stenosis of far proximal venous vessels (axillary and/or subclavian vein) could be detected. It is suggested that consecutive deterioration of central venous runoff may induce or aggravate malfunctioning of the shunt and, moreover, may contribute to recurrent thrombosis of arteriovenous fistulae or grafts.
对78例血液透析血管通路功能障碍（主要是血流量不足）的患者进行了系统的影像学评估。所有病例均进行了动脉造影，对于分别出现动静脉内瘘或移植物闭塞的患者，随后进行了静脉造影。在11例（14%）患者中，检测到远侧近端静脉血管（腋静脉和/或锁骨下静脉）闭塞或明显狭窄。提示中心静脉回流的持续恶化可能诱发或加重分流功能障碍，此外，可能导致动静脉内瘘或移植物反复血栓形成。
