经静脉途径球囊扩张治疗桡动静脉瘘狭窄

Treatment of Flexible Arteriovenous Fistula Stenosis by Balloon Dilatation Through Venous Pathway

目的 观察经静脉入路球囊扩张成型术治疗血液透析用动静脉瘘管腔狭窄的可行性和有效性。方法 回顾性分析2012年1月至2014年1月我院患者资料,总结10例经静脉途径穿刺球囊扩张治疗上肢动静脉瘘狭窄的手术经验。结果 10例手术病例中9例获得成功,成功率90%;成功病例3个月通畅率达77.8%。手术后均未出现任何并发症,动静脉瘘于术后0~3 d即可使用。结论 直接经静脉途径的球囊扩张治疗自体动静脉瘘功能不良简单有效,可以避免动脉途径可能造成的术中、并发症。

Objective To investigate the feasibility and effectiveness of transvenous percutaneous transluminal angioplas on autogenous ateriovenous ifstula malfunction in hemodialysis patient.Method A retrospective study was conducted in patients whose arteriovenous ifstulas were salvaged by transvenous PTA in our hospital from January 2012 to January 2014.Result Nine surgical cases succeeded in ten patients, the successrate was 90%; the patency rate in 3 monthes was 77.8%. For every successful case arteriovenous ifstula can be used in 0-3 days after surgery, and they did not have any complications after surgery.Conclusion Transvenous percutaneous transluminal angioplas is a simple and effective method, which can avoided many complications.