Müller R P, Peters P E, Rühland D
Radiologe. 1979 Nov;19(11):486-9.
A simple procedure for visualization of iatrogenic av-shunts in the upper extremity of patients on hemodialysis is presented. During compression proximal to the fistula (applying pressure of more than the patient's systolic value) 45 ml Metrizamide (80 mg iodine/ml) are injected into the venous limb of the shunt. A single xeroradiogram obtained 5-7 seconds later shows the arterial and venous vessels simultaneously. The examination requires less than 15 minutes to perform and is far less discomforting to the patient than arteriography. 42 patients were examined by this method without complications. Pathological findings - including stenoses, pseudoaneurysms and venous thromboses - were confirmed surgically.
本文介绍了一种用于可视化血液透析患者上肢医源性动静脉分流的简单方法。在瘘管近端进行压迫(施加超过患者收缩压的值)时,将45毫升甲泛葡胺(80毫克碘/毫升)注入分流的静脉支。5 - 7秒后获得的一张干板X线照片可同时显示动脉和静脉血管。该检查操作时间不到15分钟,而且与动脉造影相比,给患者带来的不适要少得多。42例患者通过该方法进行了检查,未出现并发症。手术证实了包括狭窄、假性动脉瘤和静脉血栓形成在内的病理结果。