Hunter D W, Castaneda-Zuniga W R, Coleman C C, Young A T, Salomonowitz E, Mercado S, Amplatz K
Radiology. 1984 Sep;152(3):631-5. doi: 10.1148/radiology.152.3.6235536.
A total of 31 patients with 45 episodes of failing arteriovenous dialysis fistulas was studied. Fistula failure was usually due to venous and/or anastomotic stenosis, often in conjunction with thrombosis. Abnormalities were treated by percutaneous dilation and occasionally streptokinase infusion. Most complications and failures occurred either in patients with recently created fistulas or in those with multiple or long segment stenosis associated with thrombosis. Patients with a single nonobstructing stenosis were very successfully treated with percutaneous techniques, which are the treatment of choice for this condition.
对31例出现45次动静脉透析瘘失败情况的患者进行了研究。瘘管失败通常是由于静脉和/或吻合口狭窄，且常伴有血栓形成。异常情况通过经皮扩张治疗，偶尔也会进行链激酶输注。大多数并发症和失败情况发生在近期建立瘘管的患者中，或发生在伴有血栓形成的多发或长段狭窄患者中。单一无阻塞性狭窄的患者采用经皮技术治疗非常成功，该技术是这种情况的首选治疗方法。
