Interventional Treatment for Complete Occlusion of Arteriovenous Shunt: Our Experience in 39 Cases

對完全阻塞的動靜脈分流之介入性療法：39個病例之經驗

鄭旭萌(She-Meng Cheng) ； 吳淑萍(Suk-Ping Ng) ； 楊斐適(Fei-Shih Yang) ； 施焄鏻(Shin-Lin Shih)

《中華放射線醫學雜誌》 28卷3期 (2003/06) Pp. 137-142

摘要

動靜脈分流的完全阻塞是血液透析中令人擔心的併發症，因為能做為洗腎用途動靜脈分流的血管數量有限。為了延長動靜脈分流的使用時間，有很多方法被發展出來。雖然目前還是以外科手術治療為主，但是介入性療法其實也可以提供另一解決動靜脈分流的完全阻塞的治療方法。
在我們所做的病例中，所有的病患都合併有血管狹窄。介入性療法除了可以解決完全阻塞的問題外，也可以經皮血管成型術一併解決其血管狹窄之問題。

關鍵字

動靜脈分流 ； 血液透析 ； 經皮血管成型術

並列摘要

Complete occlusion of arteriovenous shunt is a feared complication of hemodialysis due to limited vessels suitable for reconstruction of arteriovenous vessels suitable for reconstruction of arteriovenous shunt. For prolonged use of the arteriovenous shunt, there are many methods for restoring the function of the occluded arteriovenolus shunts. So far the standard treatment for complete occlusion of arteriovenous shunt is surgery. Interventional procedure serves as an alternative method for restoring the function of the arteriovenous shunt.
All of the patients in out study had underlying stenosis of blood vessels. The interventional treatment we performed could restore the normal blood flow in the occluded arteriovenous shunt and provide dilatation of the underlying stenosis by performing percutaneous transluminal angioplasty (PTA) at the same time.

並列關鍵字

Arteriovenous shunt ； Hemodialysis ； Percutaneous transluminal angioplasty