Takashima Tsuyoshi, Matsumoto Keiichiro, Takeshita Chihiro, Nonaka Eriko, Matsushita Sae, Fukuda Makoto, Miyazono Motoaki, Ikeda Yuji
Department of Nephrology, National Hospital Organization, Ureshino Medical Center, Ureshino, Saga, Japan.
Department of Nephrology, National Hospital Organization, Ureshino Medical Center, Ureshino, Saga, Japan.
Ann Vasc Surg. 2018 Oct;52:313.e9-313.e16. doi: 10.1016/j.avsg.2018.03.033. Epub 2018 May 22.
Standard salvage procedures for occuluded autologous arteriovenous fistula (AVF) in a hemodialysis patient are endovascular and/or surgical therapy. When endovascular therapy and thrombectomy prove unsuccessful, it is most likely that creating a new AVF or arteriovenous graft will be considered. However, if the occuluded venous part is short, we have adopted an operative technique for repair of AVF by removal of the occluded short venous part and venovenous end-to-end anastomosis. To our knowledge, the efficacy and clinical course of restoration of AVF by the technique have not been reported to date. Here, we describe the technique and report the successful treatment of a hemodialysis patient who developed AVF occlusion.
血液透析患者自体动静脉内瘘（AVF）闭塞的标准挽救程序是血管内和/或外科治疗。当血管内治疗和血栓切除术被证明不成功时，很可能会考虑创建一个新的AVF或动静脉移植物。然而，如果闭塞的静脉部分较短，我们采用了一种手术技术，即通过切除闭塞的短静脉部分并进行静脉-静脉端端吻合来修复AVF。据我们所知，迄今为止尚未报道过该技术恢复AVF的疗效和临床过程。在此，我们描述该技术并报告一名发生AVF闭塞的血液透析患者的成功治疗情况。
