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血栓形成或失败的透析接入的管理
Stephen N Dalton-Petillo1, Jeffrey J Siracuse1
1Division of Vascular and Endovascular Surgery, Chobanian and Avedisian School of Medicine, Boston University, Boston, MA, Boston Medical Center, 88 East Newton Street, Boston, MA 02118.
Seminars in vascular surgery
|December 15, 2024
概括
维持血液透析 (HD) 接入通透性对于末期病患者至关重要. 本综述涵盖了囊失败的原因,诊断和治疗方法,如血管造形术和血栓切除术以恢复流动.
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) 需要进行血液透析 (HD).
- 由于狭窄和血栓形成,保持的通透性是具有挑战性的.
- ESRD,血液动力学变化和并发症加剧了访问失败.
研究的目的:
- 为了审查常见的血液透析囊失败的病理生理学.
- 概述了管功能障碍的诊断方法.
- 讨论血管内和外科手术治疗方案,以恢复流动.
主要方法:
- 审查的病理生理学 囊失败.
- 诊断技术的汇编,包括临床评估和成像.
- 内血管和外科手术管理策略的总结.
主要成果:
- 囊衰竭主要是由于输入/输出狭窄或血栓形成造成的.
- 诊断涉及多式联络方法:病史,检查,HD测量,实验室和成像.
- 治疗方案包括血管造形术,支架,血栓切除术和开放手术.
结论:
- 了解塞失败的病理生理学是有效管理的关键.
- 及时诊断和适当的干预对于保持HD的发病率至关重要.
- 内血管和外科手术技术都提供了可行的选择,可以恢复的透度.
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