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用InThrill血栓切除系统治疗血液透析接入血栓症:技术和病例报告

Luke Wright¹, Dan Schneider²

¹Dignity Health Methodist Hospital of Sacramento, Interventional Radiology, Rancho Cordova, CA, USA.

Radiology case reports

|May 23, 2024

概括

本案例研究介绍了一种高效的机械血栓切除技术,用于使用InThrill系统治疗血液透析接触血栓. 无血栓溶解剂的方法成功地在不到60分钟的时间内恢复了移植的通透性.

科学领域:

腎臟病學 (nephrology) 是一種醫學專業.
血管外科血管外科
干预性放射学干预性放射学

背景情况:

末期病 (ESRD) 需要血液透析,通常通过动脉静脉移植 (AVG).
AVG血栓是常见的并发症,阻碍了有效的血液透析,需要及时干预.

研究的目的:

描述一种高效的,无血栓解毒的机械血栓切除技术,用于血液透析进入血栓.
为了说明InThrill血栓切除系统在恢复AVG通透性的使用.

主要方法:

采用了使用InThrill血栓切除系统的新型机械血栓切除技术.
该程序涉及连续的血栓移除和抽出动脉塞,而无需使用血栓抑制剂.
一个锁定注射器和Fogarty气球被用于高效的血栓吸收和拔塞.

主要成果:

完成了包括动脉塞在内的血栓性物质的完全去除.
在60分钟内恢复了股骨AVG通透性.
在手术后不久恢复了血液透析.

结论:

描述的机械血栓切除技术为治疗血液透析接触血栓症提供了一种高效的,无血栓缓解剂的选择.
这种方法成功地恢复了AVG功能,并促进了血液透析的恢复.
需要进一步的研究来确定这种干预的长期疗效.

关键词:

动脉静脉接入血栓形成症最终阶段的脏疾病.血液透析的访问权限机械血栓切除术是一种机械血栓切除术.

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