[1]孙晓磊,马亚蓉,何虎强,等.VascuTrakTM球囊导管在自体动静脉内瘘顽固性狭窄闭塞治疗中的应用[J].介入放射学杂志,2016,(07):590-594.
　SUN Xiao-lei,MA Ya-rong,HE Hu-qiang,et al.Application of VascuTrakTM balloon catheter in treating refractory stenosis and occlusion of autogenous arteriovenous fistula [J].journal interventional radiology,2016,(07):590-594.
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VascuTrakTM球囊导管在自体动静脉内瘘顽固性狭窄闭塞治疗中的应用 ()

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

卷:
期数:
2016年07期
页码:
590-594
栏目:
血管介入
出版日期:
2016-07-25

文章信息/Info

Title:
Application of VascuTrakTM balloon catheter in treating refractory stenosis and occlusion of autogenous arteriovenous fistula

作者:
孙晓磊; 马亚蓉; 何虎强; 张雷; 曾宏; 王伟明; 胥雄飞; 邓显; 聂丽霞; 何延政; 刘勇
Author(s):
SUN Xiao-lei;  MA Ya-rong;  HE Hu-qiang;  ZHANG Lei;  ZENG Hong;  WANG Wei-ming;  XU Xiong-fei;  DENG Xian;  NIE Li-xia;  HE Yan-zheng;  LIU Yong
Department of Vascular Surgery, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province 646000, China
关键词:
【关键词】自体动静脉内瘘;  非血栓性狭窄;  球囊导管;  经皮腔内血管成形术
文献标志码:
A
摘要:
【摘要】 目的在国内初步报道VascuTrakTM球囊导管治疗血液透析患者自体动静脉内瘘(AVF)非血栓性顽固狭窄闭塞的经验和体会。 方法采用近期在中国上市的新型经皮腔内血管成形术球囊导管——VascuTrakTM球囊导管治疗14例AVF顽固性狭窄闭塞患者，观察分析临床治疗效果，如技术成功率、术中局部疼痛、残余狭窄及并发症发生率等。 结果全部14例患者AVF狭窄闭塞均获即时开通，技术成功率100%。1～6 atm压力下VascuTrakTM球囊全部获得充分扩张，其中1次成功12例(85.7%)，2次成功2例(14.3%)；腕部无疼痛10例，轻度疼痛4例，难以忍受的剧烈疼痛0例。术后彩色超声复查AVF通畅，残存狭窄＞30%患者0例。术中术后未发生血管夹层、痉挛及急性血栓形成，1例术后出现肱动脉假性动脉瘤，手术修补重建后恢复，与VascuTrakTM球囊治疗无关。 结论VascuTrakTM球囊治疗AVF失效安全有效，近期疗效良好，中远期疗效及通畅率有待进一步随访观察。


参考文献/References:

［1］Solar RJ, Ischinger TA. Focused force angioplasty: theory and application［J］. Cardiovasc Radiat Med, 2003, 4: 47-50.

［2］Navuluri R, Regalado S. The KDOQI 2006 vascular access update and Fistula First program synopsis［J］. Semin Intervent Radiol, 2009, 26: 122-124.

［3］Yu XQ, Wei JL. Kidney disease in China: recent progress and prospects［J］. Chin Med J (Engl), 2009, 122: 2048-2053.

［4］Kazemzadeh GH, Modaghegh MHS, Ravari H, et al. Primary patency rate of native AV fistula: long term follow up［J］. Int J Clin Exp Med, 2012, 5: 173-178.

［5］Aktas A, Bozkurt A, Aktas B, et al. Percutaneous transluminal balloon angioplasty in stenosis of native hemodialysis arteriovenous fistulas: technical success and analysis of factors affecting postprocedural fistula patency［J］. Diagn Interv Radiol, 2015, 21: 160-166.

［6］Kwon H, Choi JY, Ko HK, et al. Comparison of surgical and endovascular salvage procedures for juxta-anastomotic stenosis in autogenous wrist radiocephalic arteriovenous fistula［J］. Ann Vasc Surg, 2014, 28: 1840-1846.

［7］Bountouris I, Kristmundsson T, Dias N, et al. Is repeat PTA of a failing hemodialysis fistula durable?［J］. Int J Vasc Med, 2014, 2014: 369687.

［8］Aftab SA, Tay KH, Irani FG, et al. Randomized clinical trial of cutting balloon angioplasty versus high-pressure balloon angioplasty in hemodialysis arteriovenous fistula stenoses resistant to conventional balloon angioplasty［J］. J Vasc Interv Radiol, 2014, 25: 190-198.

［9］Portugaller RH, Kalmar PI, Deutschmann H. The eternal tale of dialysis access vessels and restenosis: are drug-eluting balloons the solution?［J］. J Vasc Access, 2014, 15: 439-447.

［10］Zorger N, Manke C, Lenhart M, et al. Peripheral arterial balloon angioplasty: effect of short versus long balloon inflation times on the morphologic results［J］. J Vasc Interv Radiol, 2002, 13: 355-359.

［11］Uretsky BF, Rosanio S, Lerakis S, et al. A prospective evaluation of angiography-guided coronary stent implantation with high versus very high balloon inflation pressure［J］. Am Heart J, 2000, 140: 804-812.

［12］宋进华， 顾建平， 楼文胜， 等. 急性动静脉内瘘血栓形成的置管溶栓治疗［J］. 介入放射学杂志， 2012， 21： 284-287.

备注/Memo

备注/Memo:
(收稿日期：2015-11-27)


(本文编辑：边佶)
更新日期/Last Update: 2016-07-18