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血液透析接入回路的完整支架移植重新覆盖,用于接入救援
Shimon Aronhime1, Shmuel Balan1, Alexei Cherniavsky1
1Department of Interventional Radiology, Shamir Medical Center (Assaf Harofeh), Tel Aviv University, Israel.
The journal of vascular access
|December 13, 2023
概括
完整的支架移植 (SG) 重覆覆盖为失败的血液透析接入回路提供了可行的救援选择,显示出良好的短期和长期通透率. 在无法挽救的情况下,应考虑这种极端救援技术.
科学领域:
- 血管外科 血管外科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 干预性放射学 干预性放射学
背景情况:
- 支架移植 (SG) 对于维持血液透析接入功能至关重要.
- 用SG完全重新铺设接入电路以进行极端救援是一种未被报道的技术.
研究的目的:
- 为了评估完整的支架移植重新接的结果和可行性,用于血液透析接入救援.
主要方法:
- 对16名患者进行回顾性分析,这些患者接受了完整的SG重新训练,以挽救血液透析接入 (2020年4月 - 2023年5月).
- SGs用于治疗残留狭窄,穿孔,动脉瘤和血栓形成.
- 评估结果包括初级,初级辅助和二级通透性.
主要成果:
- 平均支架长度为30厘米,平均随访时间为283天.
- 6个月初级通透率为80%,在12个月后降至68%.
- 12个月的二次通透率达到94%,没有SG相关的并发症,如骨折或感染.
结论:
- 完整的SG重新覆盖是选择血液透析接入电路的有希望的救援策略.
- 该程序显示了有利的立即和6至12个月的穿透率.
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