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- The Efficacy of Percutaneous Transluminal Angioplasty in the Treatment of Failing Vascular Access in Chronic Hemodialysis Patients
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題 名 | The Efficacy of Percutaneous Transluminal Angioplasty in the Treatment of Failing Vascular Access in Chronic Hemodialysis Patients=氣球擴張術治療血液透析血管通路阻塞之成效 |
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作 者 | 劉哲仰; 江守山; 張宗興; 華皇道; 周小燕; 程俊傑; | 書刊名 | 中華醫學雜誌 |
卷 期 | 58:5 1996.11[民85.11] |
頁 次 | 頁335-340 |
分類號 | 415.816 |
關鍵詞 | 中央靜脈狹窄; 血液透析動靜脈廔管; 穿皮經血管氣球擴張術; 血管通路; Central vein stenosis; Hemodialysis fistulas; Percutaneous transluminal angioplasty; Vascular access; |
語 文 | 英文(English) |
中文摘要 | 背景 良好的血管通路乃長期血液透析病人之命脈所繫,血管通路狹 窄導致血塊阻塞,為尿毒症患者住院之主要原因之一,在血管通路完全阻塞前 通常有典型之臨床表徵,本研究探討早期發現血管通路功能不良,及使用穿皮 經血管氣球擴張術治療之成效。 方法 自1994年八月至1995年八月,共有32位尿毒症合併血管通路功能不 良之患者,接受37次之穿皮經血管氣球擴張術治療(包含32例原發狹窄及5 例再狹窄),其臨床表徵為血管通路血流量不足,靜脈壓高,高再循環指數,急 性血管通路阻塞,及血管通路所在之肢體持續性水腫。 結果 經皮經血管氣球擴張術治療之成功率為86.5%。在32位病患中有5位病 患共有6次再狹窄之發生,除一位病患拒絕接受治療外,其餘皆再以氣球擴張 術治療成功。 結論 經由臨床觀察及血液透析時之血行動力監測,可早期發現血管通路功能 不良,並有效的施以穿皮經血管氣球擴張術治療。 |
英文摘要 | Background. Failure of vascular access leading to inefficient hemodialysis is the most common cause of morbidity in uremic patients. Careful observation of clinical signs and hemodynamic monitoring are vitally important to prevent complete fistula thrombosis. This study was undertaken to evaluate approaches for early detection and the application of percutaneous transluminal angioplasty in the treatment of failing vascular access. Methods. From August 1994 to August 1995, 32 uremic patients with failing vascular access (26 native arteriovenous fistulas, 6 polytetrafluroethlene (PTFE) grafts), presented signs of poor arterial flow, high venous pressure, significant recirculation, acute fistula thrombosis and persistent swelling of the access arm. These patients underwent fistulography and subsequent angioplasty in the confirmed obstructed sites. Results. Thirty-seven angioplasty procedures were performed including 32 de novo lesions and 5 restenotic lesions; of the total, 32 (86.5%) were successful . In native arteriovenous (AV) fistulas, the most common problem was inadequate flow with the lesion located within 5 cm from the AV junction (63.6%). In PTFE grafts, the most common presentation was high venous pressure with the lesion located at the PTFE-venous junction (57.1%). Conclusions. Through clinical surveillance and hemodynamic monitoring during hemodialysis, failing vascular access can be detected early and treated effectively with percutaneous transluminal angioplasty. |
本系統中英文摘要資訊取自各篇刊載內容。