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[肱动脉-贵要静脉动静脉内瘘的三重狭窄:经皮腔内血管成形术的效用、病例报告及文献综述]

[Triple stenosis of brachio-basilic arteriovenous fistula: percutaneous transluminal angioplasty utility, case report and literature review].

作者信息

Taurisano Marco, Mancini Andrea, D'Elia Filomena

机构信息

UOC di Nefrologia e Dialisi Ospedale di Venere Bari.

出版信息

G Ital Nefrol. 2022 Oct 31;39(5):2022-vol5.

Abstract

The major haemodialysis arteriovenous fistula (AVF) complication is stenotic disease. It is represented by a reduction of the arterial or venous caliper forming the AVF. Most frequently it is located in the juxta- anastomotic region of the venous segment. There are a lot of mechanisms responsible for the stenosis formation; some are correlated by the shear stress in the wall of venous tract with a lot of biochemical mechanisms, others are associated with the repetition of venipuncture during haemodialisys treatment. It is recommended that each dialysis center activate an AVF monitoring program capable of identifying and treating stenosis. We describe a clinical case of a young woman with a multiple stenosis disease of a brachio-basilical transposed AVF.

摘要

主要的血液透析动静脉内瘘(AVF)并发症是狭窄性疾病。它表现为构成AVF的动脉或静脉管径缩小。最常见于静脉段的吻合口附近区域。有许多导致狭窄形成的机制;一些与静脉壁内的剪切应力以及许多生化机制相关,另一些则与血液透析治疗期间静脉穿刺的反复进行有关。建议每个透析中心启动一个能够识别和治疗狭窄的AVF监测项目。我们描述了一名患有肱动脉-尺侧副动脉转位AVF多处狭窄疾病的年轻女性的临床病例。

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