頁籤選單縮合
題 名 | Percutaneous Trans-Radial Intervention for Acute Thrombosis of Upper Arm Grafts: An Outpatient-Based, Effective, and Feasible Option |
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作 者 | Wu, Lung-sheng; Lin, Yu-shen; Chung, Chang-min; Hsu, Jen-te; Chang, Shih-tai; Yang, Teng-yao; Chen, Hui-wen; Kuo, Chi-tai; Lin, Pi-chi; | 書刊名 | Acta Cardiologica Sinica |
卷 期 | 24:2 2008.06[民97.06] |
頁 次 | 頁86-91 |
分類號 | 416.262 |
關鍵詞 | Trans-radial approach; Angioplasty; Hemodialysis access; |
語 文 | 英文(English) |
英文摘要 | 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. |
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