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題 名 | Initial Experience during Balloon Angioplasty Assisted Surgical Thrombectomy for Thrombosed Hemodialysis Grafts=應用外科去血栓術輔以術中血管內氣球擴張術對於洗腎用人工血管通路急性阻塞之處理之初始經驗 |
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作 者 | 柯博仁; 劉永恆; 謝宏昌; 朱肇基; 林萍章; | 書刊名 | 長庚醫學 |
卷 期 | 26:3 2003.03[民92.03] |
頁 次 | 頁178-183 |
分類號 | 416.26 |
關鍵詞 | 人工血管; 栓塞; 去血栓術; 氣球擴張術; 洗腎通路; Dialysis graft; Thrombosis; Surgical thrombectomy; Balloon angioplasty; Endovascular therapy; |
語 文 | 英文(English) |
中文摘要 | 背景:洗腎用動脈人工血管通路急性栓塞是血管外科醫師常遇見的臨床問題。臨床上有許多不同的方式,包括外科去血栓術(surgical thrombectomy),經皮血栓溶解術(percutaneous thrombolysis),經皮機械性去血栓術(percutaneous balloon angiolplasty),以及外科血管成形術(surgical angiolplasty),用來解決人工血管阻塞問題。不論是外科手術,或是經皮血管內療法都各有其優劣。 方法:本科為了提高去栓手術的成功率以及一併宗決血管通路栓塞的潛在狹窄問題,在2001年7月開始將術中血管攝影及血管內氣球擴張術引進外科去血栓手術中使用。我們回顧了我們此種治療的初始兩個月之內的經驗並追蹤其成果,共13例。 結果:用這樣的方法,人工血管通路去血栓的成功率是百分之百。而術後血管的在1個月、3個月,以及半年的暢通率則分別是77%、62%,以及38%。 結論:我們認為洗腎用人工血管的去血栓手術合併使用術中氣球擴張術是一種能有效清除血栓的方式,能夠同時發現並解決血管通路的潛在性狹窄問題。 |
英文摘要 | Backgorund: Access failure in hemodialysis patents is commonly encountered by vascular surgeons. Researchers have reported various solutions for dealing with clotted grafts, including thrombectomy, thrombolysis, interposition grafting, angioplasty, or a combination of these methods. Surgical thrombectomy had been the standard procedure for dealing with thrombosed hemdialysis grafts in the cardiovascular department of these methods. Surgical thrombectomy has been the standard procedure for dealing with thrombosed hemodialysis grafts in the cardiovascular department of Chang Gung Memorial Hospital. However, to correct associated stenotic lesions and improve the results or surgery, intraoperative balloon angiolplasty has been applied in consecutive cases of dialysis graft failure since July 2001. Methods: Initial experience with 13 consecutive interaoperative balloon angioplasties performed during a 2-monthe period was reviewed. Noncompliant high-pressure balloons were used for the procedures. Age, gender, graft age, and initial outcome were reviewed and analyzed. Results: A success rate of 100% was achieved in the group that underwent thrombectomy plus intraoperative balloom angioplasty. Furthermore, the primary potency rates were 77% at 1 month, 62% at 3 months, and 86% at 6 months. Conclusions: We lrecommend intraoperative balloon angioplasty plus surgical thrombectomy as an effective method of salvaging thrombosed hemodialysis grafts. However, since these are the initial results for this and of hybrid procedure from a single hospital, large-scale studies with long-term follow up are required. |
本系統中英文摘要資訊取自各篇刊載內容。