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通过辅助动脉压测量实现动脉流入近端化以管理血液透析通路引起的远端缺血。

Proximalization of arterial inflow with adjunctive arterial pressure measurements for management of hemodialysis access-induced distal ischemia.

作者信息

Paci Samuel, Narvaez Vincent, Etkin Yana

机构信息

Northwell Health, New Hyde Park, NY.

Department of Surgery at Zucker School of Medicne, Manhasset, NY.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Aug 2;10(6):101590. doi: 10.1016/j.jvscit.2024.101590. eCollection 2024 Dec.

DOI:10.1016/j.jvscit.2024.101590
PMID:39296373
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11407939/
Abstract

Hemodialysis access-induced distal ischemia () is an uncommon, yet potentially devastating, complication of hemodialysis access surgery. Management of HAIDI depends on the access' volume flow and may involve banding, proximalization of arterial inflow, revision using distal inflow, distal revascularization interval ligation, or access ligation. Various adjunctive techniques have been used to confirm improved distal arterial flow intraoperatively. Here, we present a case of a patient with grade 3 HAIDI treated with proximalization of arterial inflow technique with the adjunctive use of intra-arterial pressure gradient measurements.

摘要

血液透析通路所致远端缺血（HAIDI）是血液透析通路手术中一种罕见但可能具有毁灭性的并发症。HAIDI的治疗取决于通路的血流量，可能包括绑扎、动脉流入端近端化、采用远端流入端进行修复、远端血管重建间隔结扎或通路结扎。术中已使用各种辅助技术来确认远端动脉血流是否改善。在此，我们报告一例3级HAIDI患者，采用动脉流入端近端化技术并辅助使用动脉内压力梯度测量进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506b/11407939/909909e68e8e/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506b/11407939/cb4b1fbb6930/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506b/11407939/087bf6c7b835/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506b/11407939/f6928fb5d966/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506b/11407939/86c69a415337/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506b/11407939/11c33b810942/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506b/11407939/269a66a17d79/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506b/11407939/909909e68e8e/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506b/11407939/cb4b1fbb6930/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506b/11407939/087bf6c7b835/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506b/11407939/f6928fb5d966/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506b/11407939/86c69a415337/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506b/11407939/11c33b810942/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506b/11407939/269a66a17d79/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506b/11407939/909909e68e8e/gr7.jpg

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本文引用的文献

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Modified Banding of Arteriovenous Fistulas for the Treatment of Vascular Access Induced Digital Ischaemia.改良动静脉内瘘绑扎术治疗血管通路所致手指缺血
EJVES Vasc Forum. 2021 Nov 1;53:26-29. doi: 10.1016/j.ejvsvf.2021.10.017. eCollection 2021.
2
Ultrasound evaluation of dialysis access-related distal ischaemia.超声评估透析通路相关的远端缺血。
J Vasc Access. 2021 Nov;22(1_suppl):84-90. doi: 10.1177/1129729820932420. Epub 2021 Jul 20.
3
KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update.KDIGO 临床实践指南：血管通路 2019 更新版。
Am J Kidney Dis. 2020 Apr;75(4 Suppl 2):S1-S164. doi: 10.1053/j.ajkd.2019.12.001. Epub 2020 Mar 12.
4
Intraoperative Ultrasound Guidance for Banding of an Arteriovenous Fistula Causing High Cardiac Output Heart Failure.术中超声引导下对导致高心输出量心力衰竭的动静脉瘘进行绑扎术
Ann Vasc Surg. 2020 Jul;66:665.e5-665.e8. doi: 10.1016/j.avsg.2019.12.011. Epub 2019 Dec 18.
5
A systematic review of distal revascularization and interval ligation for the treatment of vascular access-induced ischemia.远端血运重建和间隔结扎治疗血管通路相关性缺血的系统评价。
J Vasc Surg. 2019 Oct;70(4):1364-1373. doi: 10.1016/j.jvs.2019.02.060. Epub 2019 May 29.
6
Editor's Choice - Vascular Access: 2018 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS).编辑推荐——血管通路：欧洲血管外科学会（ESVS）2018年临床实践指南
Eur J Vasc Endovasc Surg. 2018 Jun;55(6):757-818. doi: 10.1016/j.ejvs.2018.02.001. Epub 2018 May 2.
7
Management and outcomes of dialysis access-associated steal syndrome.透析通路相关窃血综合征的管理与结局
J Vasc Surg. 2015 Mar;61(3):754-60. doi: 10.1016/j.jvs.2014.10.038. Epub 2014 Dec 9.
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Int J Vasc Med. 2013;2013:328601. doi: 10.1155/2013/328601. Epub 2013 Aug 27.
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