- 期刊
Percutaneous Trans-Radial Intervention for Acute Thrombosis of Upper Arm Grafts: An Outpatient-Based, Effective, and Feasible Option
並列摘要
Purpose: To evaluate the efficacy, safety, and feasibility of an outpatient-based trans-radial intervention for acute thrombosis of upper arm graft. Materials and methods: A total of 101 trans-radial balloon angioplasty was performed in 63 patients with acute thrombosis of upper arm graft (29 males, 34 females; age: 69±10 years). Thrombus was macerated and pushed into the central circulation with a balloon catheter. Low-dose urokinase injection was given as an adjunctive therapy in 17 interventions. Procedure time, anatomical and clinical success, and complications were analyzed. Results: The procedural time was 56+/-29 minutes. Anatomic success (＜30% residual stenosis) was obtained in 87.2% of cases and clinical success in 79.2%. There was no major bleeding or symptomatic pulmonary embolism. Other complications were distal arterial embolism with or without clinical symptoms in 2% and 5.9% of cases, respectively. The complication rate of axillary extravasations was 3%. Conclusion: Trans-radial intervention for acute thrombosis of upper arm graft as an outpatient procedure had comparable success and complications compared to the results reported earlier. Therefore, outpatient-based trans-radial intervention should be considered a feasible therapy for acute thrombosis of upper arm graft.
被引用紀錄
延伸閱讀
- Tsai, D. Y., Tseng, H. S., Chen, J. M., Phan, W. L., Wang, J. Y., & Chao, C. L. (2018). Staged Endovascular Intervention with Ultrasound-Assisted Thrombolysis and Stent Placement for Spontaneous Isolated Superior Mesenteric Artery Dissection with Total Thrombotic Occlusion. Acta Cardiologica Sinica, 34(6), 533-538. https://doi.org/10.6515/ACS.201811_34(6).20180529A
- Chen, S. H., Pan, S. C., & Lee, J. W. (2014). Flow-Through Anterolateral Thigh Flap for Simultaneous Reconstruction and Revascularization in Primary Rhabdomyosarcoma of the Hand. 臺灣整形外科醫學會雜誌, 23(3), 277-283. https://www.airitilibrary.com/Article/Detail?DocID=a0000593-201409-201410220053-201410220053-277-283
- Yu, K. L., Yang, H. C., Ko, J. C., Ho, C. C., & Shih, J. Y. (2021). Feasibility of Re-biopsy by Endobronchial Ultrasound-guided Transbronchial Needle Aspiration (EBUS-TBNA) in Patients with Previously Treated Lung Cancer. 胸腔醫學, 36(2), 71-80. https://www.airitilibrary.com/Article/Detail?DocID=10239855-202106-202107260015-202107260015-71-80
- 黃敬雯、黃新家、楊宗憲、許中原、李科宏（2018）。Preliminary study evaluating the effect of radial bone mobilization in Chinese Orthopaedics and Traumatology for tennis elbow。中醫藥雜誌，29(1)，34-41。https://doi.org/10.3966/241139642018062901003
- Lai, C. C., Mar, G. Y., Fang, H. C., Tsai, H. L., Tseng, C. J., Chiou, C. W., Lin, S. L., & Liu, C. P. (2012). A Novel Intragraft Pressure-Guided Technique Versus Angiography-Guided Technique in Salvage of Thrombosed Hemodialysis Graft: A Randomized Controlled Trial. Acta Cardiologica Sinica, 28(4), 324-331. https://www.airitilibrary.com/Article/Detail?DocID=10116842-201212-201301210008-201301210008-324-331