頁籤選單縮合
題 名 | AngioJet Thrombectomy to Salvage Thrombosed Native Dialysis Fistulas |
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作 者 | Wen, Szu-chi; Pu, Shih-yun; Tsai, Kuei-chin; Yang, Chih-chung; Wu, Chih-cheng; Chen, Wen-jone; | 書刊名 | Acta Cardiologica Sinica |
卷 期 | 27:2 2011.06[民100.06] |
頁 次 | 頁101-108 |
分類號 | 415.38 |
關鍵詞 | AngioJet; Dialysis fistula; Thrombectomy; Thrombosis; |
語 文 | 英文(English) |
英文摘要 | Purpose: To investigate outcomes following treatment of thrombosed native dialysis fistulas with AngioJet thrombectomy. Materials and Methods: We retrospectively reviewed an existing database and included patients according to the following criteria: thrombosed fistula, native fistula, and use of the AngioJet system for mechanical thrombectomy. Outcomes included clinical success, complications, and patency rates. Results: One hundred and nine patients with 135 episodes of native fistula thrombosis were included in the study. Clinical success was achieved in 76% (103 of 135) of the procedures. Fistulas salvaged within three days of thrombosis had higher clinical success rates than those salvaged after three days (80% vs. 63%). The average procedure time was 82 ± 37 minutes. Complications occurred in 15% (20 of 135) of the procedures, but all were not device-related. The primary patency rates were 67%, 57%, and 39% and the secondary patency rates were 74%, 72%, and 70% at 30, 90, and 180 days, respectively. In the Cox regression analysis, only diabetes mellitus, current smoker, right-sided fistula and small vessel size were independent predictors of primary patency. Conclusion: Percutaneous thrombectomy using the AngioJet system is effective for the salvage of thrombosed native dialysis fistulas. It has an acceptable complication rate, primary patency rate, and secondary patency rate. |
本系統中英文摘要資訊取自各篇刊載內容。