[1]高 堃,王剑锋,李 惠,等. 血液透析患者中心静脉狭窄的介入治疗[J].介入放射学杂志,2012,(07):582-586.
 GAO Kun,WANG Jian- feng,LI Hui,et al. Interventional treatment of central vein stenosis in hemodialysis patients[J].journal interventional radiology,2012,(07):582-586.
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 血液透析患者中心静脉狭窄的介入治疗 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2012年07期
页码:
582-586
栏目:
临床研究
出版日期:
2012-07-30

文章信息/Info

Title:
 Interventional treatment of central vein stenosis in hemodialysis patients
作者:
 高 堃 王剑锋 李 惠 戴定可 翟仁友
Author(s):
 GAO Kun WANG Jian- feng LI Hui DAI Ding- ke ZHAI Ren- you.
 Department of Interventional Radiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
关键词:
 【关键词】 肾疾病 中心静脉狭窄 血液透析 血管球囊扩张成形术 血管支架植入术
文献标志码:
A
摘要:
 【摘要】 目的 探讨血液透析患者中心静脉狭窄介入治疗的方法及疗效。方法 2010年5月至2011年11月共收治20例发生中心静脉狭窄的血液透析患者,所有患者均具有中心静脉狭窄的临床症状、体征,并行MRA或CTA明确诊断,经静脉造影明确病变长度、范围和程度,行血管球囊扩张成形术(PTA)对病变部位进行治疗,成形术失败时,行血管支架植入术。术后随访患者的临床症状、MRA、超声等影像学检查。结果 所有患者均成功行静脉造影,成功处理了20例患者共17条狭窄静脉,其中成功进行PTA 15例,支架植入成功2例,术后狭窄静脉血管通畅,侧支循环消失。首次PTA后再狭窄发生率为11.8%,再次行PTA。所有手术成功病例随访至今未出现再狭窄。结论 血液透析患者中心静脉狭窄的介入治疗安全、有效,静脉通畅率良好。

参考文献/References:

[1]   Surlan MP. The role of interventional radiology in management of patients with end?蛳 stage renal disease[J]. Eur J Radiol, 2003, 46: 96 ?蛳 114.
[2]  Kundu S. Central venous disease in hemodialysis patients: prevalence, etiology and treatment[J]. J Vasc Access, 2010, 11: 1 ?蛳 7.
[3]   Macrae JM, Ahmed A, Johnson N, et al. Central vein stenosis: A common problem in patients on hemodialysis[J]. ASAIO J 2005, 51: 77 ?蛳 81.
[4]   Levent O, Tercan F, Sedat Y, et al. Central venous stenosis in haemodialysis patients without a previous history of catheter placement[J]. Eur J Radiol, 2005, 55: 237 ?蛳 242.
[5]   Itkin M, Kraus MJ, Trerotola SO. Extrinsic compression of the left innominate vein in hemodialysis patients[J]. J Vasc Interv Radiol, 2004, 15: 51 ?蛳 56.
[6]  Yevzlin AS. Hemodialysis catheter?蛳 associated central venous sten?蛳osis[J]. Semin Dial, 2008, 21: 522 ?蛳 527.
[7]   Levit RD, Cohen RM, Kwak A, et al. Asymptomatic central venous stenosis in hemodialysis patients[J]. Radiology, 2006, 238: 1051 ?蛳 1056.
[8]  Anaya?蛳 Ayala JE, Bellows PH, Ismail N, et al. Surgical management of hemodialysis?蛳 related central venous occlusive disease: a treatment algorithm[J]. Ann Vasc Surg, 2011, 25: 108 ?蛳 119.
[9]   Sprouse LR 2nd, Lesar CJ, Meier GH 3rd, et al. Percutaneous treatment of symptomatic central venous stenosis angioplasty[J], J Vasc Surg, 2004, 39: 578 ?蛳 582.
[10]  Bakken AM, Protack CD, Saad WE, et al. Long?蛳 term outcomes of primary angioplasty and primary stenting of central venous stenosis in hemodialysis patients[J]. J Vasc Surg, 2007, 45: 776 ?蛳 783.
[11] Ozyer U, Harman A, Yildirim E, et al. Long?蛳 term results of angioplasty and stent placement for treatment of central venous obstruction in 126 hemodialysis patients: a 10?蛳 year single?蛳 center experience[J]. Am J Roentgenol, 2009, 193: 1672 ?蛳 1679.
[12]  施娅雪, 张   皓, 梁   卫, 等. 血透患者中心静脉狭窄的诊治研究[J]. 中国实用外科杂志, 2010, 30: 309 ?蛳 311.
[13] Turmel?蛳 Rodrigues L, Pengloan J, Bourquelot P. Interventional radiology in hemodialysis fistulae and grafts:a multidisciplinary approach [J].Cardiovasc Intervent Radiol, 2002, 25: 3 ?蛳 16.
[14] Yamaguchi M, Sugimoto K, Zamora CA, et al. Placement of self?蛳 expanding stents with different diameters in the porcine venous system: an experimental study[J]. J Vasc Interv Radiol, 2006, 17: 113 ?蛳 119.

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备注/Memo

备注/Memo:
 (收稿日期:2011-12-04)
更新日期/Last Update: