1 Department of Radiology, Section of Interventional Radiology, NorthShore University Health System, Evanston Hospital, 2650 Ridge Ave, Evanston, IL 60201.
AJR Am J Roentgenol. 2018 Feb;210(2):W86-W91. doi: 10.2214/AJR.17.18442. Epub 2017 Nov 7.
This article describes the use of a transjugular venous access for interventions in upper extremity hemodialysis arteriovenous fistulas (AVFs) and grafts. This access is used in selected patients in whom direct puncture of the hemodialysis access is considered to be difficult or cumbersome. Technical success was achieved in 96.7% of patients. If an intervention is unsuccessful, the transjugular access offers the possibility of placement of a dialysis catheter for temporary or long-term hemodialysis.
The transjugular approach for hemodialysis access endovascular interventions is technically successful and safe. Initially described as an intervention to treat malfunctioning arteriovenous grafts, we have used it successfully in AVF interventions. In our opinion, this approach is a safe and effective alternative that may prove useful in selected patients.
本文描述了经颈静脉入路在治疗上肢血液透析动静脉瘘（AVF）和移植物中的应用。这种入路用于某些被认为直接穿刺血液透析通路困难或繁琐的患者。96.7%的患者技术上获得成功。如果介入治疗不成功，经颈静脉入路可提供放置透析导管进行临时或长期血液透析的可能性。
经颈静脉入路进行血液透析通路血管内介入治疗技术上是成功且安全的。最初该方法被描述为一种治疗功能不良动静脉移植物的介入治疗方法，我们已成功将其应用于 AVF 介入治疗。在我们看来，这种方法是一种安全有效的替代方法，可能对某些患者有用。
