Horikawa Masahiro, Quencer Keith B
Dotter Interventional Institute, Oregon Health and Science University, Portland, OR.
Division of Interventional Radiology, Department of Radiology, University of California, San Diego, San Diego, CA; Dotter Interventional Institute, Oregon Health and Science University, Portland, OR.
Tech Vasc Interv Radiol. 2017 Mar;20(1):48-57. doi: 10.1053/j.tvir.2016.11.006. Epub 2016 Nov 29.
Central venous stenosis or occlusion is a common and vexing problem in patients undergoing hemodialysis. Typical presenting symptoms include arm swelling and prolonged bleeding after hemodialysis. Despite multiple treatment approaches, these stenoses tend to recur and progress over time. A thorough preprocedure evaluation, methodical procedural approach and awareness of potential complications are all essential to try to preserve vascular access and improve patients' quality of life.
中心静脉狭窄或闭塞是接受血液透析患者中常见且棘手的问题。典型的表现症状包括手臂肿胀和血液透析后出血时间延长。尽管有多种治疗方法，但这些狭窄往往会随着时间的推移而复发和进展。全面的术前评估、有条不紊的手术方法以及对潜在并发症的认识对于试图保留血管通路和提高患者生活质量都是至关重要的。
