Lawrence P F, Miller F J, Mineaud E
Surgery. 1981 Apr;89(4):439-42.
Six patients on hemodialysis who had stenotic segments of failing arteriovenous fistulas underwent attempted dilatations with a Grüntzig balloon catheter. In three patients the dilatation was successful: two fistulas were still functioning at the time of this study (10 and 8 months), and one fistula functioned up to the patient's death (2 months). Dilatation was unsuccessful in two patients because the stenosis located adjacent to the arteriovenous anastomosis could not be approached with the balloon. There were no complications secondary to the technique, and the dilatation attempt did not preclude surgical revision when it failed. This technique, which can be performed in ambulatory patients, provides an alternative to surgical revision of the failing arteriovenous fistula.
6名接受血液透析且动静脉内瘘出现狭窄段的患者，使用Grüntzig球囊导管进行了扩张尝试。3例患者扩张成功：本研究时，2例内瘘仍在发挥功能（分别为10个月和8个月），1例内瘘在患者死亡前一直发挥功能（2个月）。2例患者扩张失败，原因是球囊无法到达靠近动静脉吻合口处的狭窄部位。该技术未引发继发并发症，扩张尝试失败时也不妨碍进行手术修复。这种可在门诊患者中实施的技术，为功能不良的动静脉内瘘手术修复提供了一种替代方法。
