Department of Medicine, Seton Hall-Hackensack Meridian School of Medicine, Jersey Shore University Medical Center, Neptune, New Jersey.
Semin Thromb Hemost. 2018 Feb;44(1):57-59. doi: 10.1055/s-0037-1606180. Epub 2017 Sep 12.
Complications related to hemodialysis vascular access continue to have a major impact on morbidity and mortality. Vascular access dysfunction is the single most important factor that determines the quality of dialysis treatment. Vascular access stenosis is a common complication that develops in a great majority of patients with an arteriovenous access and leads to access dysfunction. By restricting luminal diameter, this complication leads to a reduction in blood flow and places the access at risk for thrombosis. Similarly, the development of catheter-related fibroepithelial sheath also causes catheter dysfunction with its detrimental effects on blood flow. In this article, we discuss the most common complications associated with dialysis access and provide therapeutic options to manage these problems.
与血液透析血管通路相关的并发症仍然对发病率和死亡率有重大影响。血管通路功能障碍是决定透析治疗质量的唯一最重要因素。血管通路狭窄是大多数动静脉通路患者中常见的并发症，可导致通路功能障碍。该并发症通过限制管腔直径，导致血流量减少，并使通路容易发生血栓形成。同样，导管相关纤维上皮鞘的发展也会导致导管功能障碍，对血流量产生不利影响。在本文中，我们讨论了与透析通路相关的最常见并发症，并提供了治疗这些问题的选择方案。
