16例前臂动静脉内瘘狭窄闭塞介入治疗的疗效分析

Efficacy analysis of interventional treatment for 16 cases of forearm arteriovenous fistula stenosis or occlusion

[背景]观察前臂动静脉内瘘(AVF)狭窄闭塞介入治疗的有效性和安全性.[病例报告]选择自2017年9月至2018年12月间行经皮腔内血管成形术治疗的前臂AVF狭窄闭塞患者16例,观察狭窄闭塞段数目、位置及术后当天、3,6个月时通畅率和并发症情况.采用球囊扩张给16例患者共22处狭窄闭塞行介入治疗,均顺利开通,成功率为100.0%,未见严重并发症发生;治疗后3,6个月时通畅率分别为81.2%(13/16),75.0%(12/16).[讨论]前臂AVF狭窄闭塞介入治疗的疗效较好.

BACKGROUND To observe the efficacy and safety of interventional treatment for forearm arteriovenous fistula(AVF) stenosis or occlusion. CASE REPORTS 16 patients with forearm AVF stenosis or occlusion who underwent percutaneous transluminal angioplasty(PTA) between September 2017 and December 2018 were selected. The number and position of AVF stenosis or occlusion were observed, and the patency rates and complications were recorded on the day and 3 and 6 months after the surgery. Balloon dilatation was used to treat a total of 22 stenosis and occlusion in 16 patients, all patients were successfully opened with a success rate of 100.0%, and no serious complications were observed. The patency rate at 3 and 6 months after the treatment was 81.2%(13/16) and 75.0%(12/16), respectively. DISCUSSION PTA was effective in the treatment of forearm AVF stenosis or occlusion.