在血管血液透析导管功能的故障中,腔室结合支架
Federico Francisco Pennetta1, Massimiliano Millarelli2, Francesco De Santis2
1Vascular and Endovascular Surgery Unit, University of Rome, Tor Vergata, Rome, Lazio, Italy.
The journal of vascular access
|May 6, 2024
概括
腔结狭窄,是血液透析导管的并发症,可以安全地使用支架进行治疗. 这种程序有效地解决了狭窄,保持了长期血管通道的中央静脉通透性.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 中枢静脉狭窄或闭塞是需要通过血管内导管进行血液透析的患者的常见并发症.
- 高静脉卡瓦综合征 (SVCS) 的特征很好,但关于腔结 (CAJ) 狭窄的数据缺乏.
- 由于血栓形成或感染导致的导管失效可能需要新的血管接入解决方案.
研究的目的:
- 报告在血液透析患者中支架腔心结 (CAJ) 狭窄的可行性和安全性.
- 为了评估CAJ支架在患者的长期结果之前多次导管故障.
- 突出维护CAJ和上静脉通透性的重要性,以获得血液透析.
主要方法:
- 计算机断层扫描 (CT) 和静脉扫描用于诊断CAJ狭窄症.
- 两名经常出现导管故障的患者接受了CAJ狭窄的支架.
- 一个高尔Viabahn VBX气球可扩展的内膜假体被用于支架CAJ.
主要成果:
- 通过静脉扫描证实了CAJ狭窄的放射性迹象.
- 成功的CAJ支架导致两名患者的狭窄症完全消失.
- 没有观察到任何程序性并发症.
- 平均随访时间为878±559天,没有出现内置支架缩或反弹的迹象.
结论:
- 静脉腔结 (CAJ) 的支架是血液透析患者狭窄症的可行和安全的治疗选择.
- 这种干预可以恢复通透性,并可能延长血管接入的可用性.
- 保持CAJ和上静脉通透性对于有效的血液透析接入管理至关重要.
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