Effect of transcatheter thrombolysis combined with percutaneous puncture balloon dilatation for acute occlusion of forearm arteriovenous fistulas
10.7619/jcmp.201723001
- VernacularTitle:置管溶栓联合经皮穿刺球囊扩张治疗前臂动静脉内瘘急性闭塞的效果
- Author:
Tao WANG
1
;
Jianping GU
;
Wensheng LOU
;
Xu HE
;
Liang CHEN
;
Guoping CHEN
;
Haobo SU
;
Jinhua SONG
;
Wanyin SHI
;
Boxiang ZHAO
;
Hao HUANG
Author Information
1. 南京医科大学附属南京医院介入科
- Keywords:
arteriovenous fistula;
thrombosis;
cathetering thrombosis;
angioplasty
- From:
Journal of Clinical Medicine in Practice
2017;21(23):1-3
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the safety and efficacy of transcatheter thrombolysis combined with percutaneous puncture balloon dilatation for acute occlusion of forearm arteriovenous fistulas.Methods A total of 20 cases with acute thrombosed arteriovenous fistulas were treated with transcatheter thrombolysis therapy by distal puncture of the brachial artery,and the patients with arteriovenous fistulas stenosis more than 50％ were conducted percutaneous puncture balloon dilatation.Results Acute thrombosed arteriovenous fistulas was dredged in all 20 patients by transcatheter thrombolysis combined with percutaneous puncture balloon dilatation,without serious complications such as hemorrhage,pulmonary embolism and others.After follow-up for 3 to 6 months,16 cases maintained smooth,recurrent thrombosis was founded in 4 cases,among whom 2 were reopened after transcatheter thrombolysis in combination and percutaneous puncture balloon dilatation and 2 failed to dredged.Conclusion Transcatheter thrombolysis in combination with percutaneous puncture balloon dilatation is a safe and effective treatment for patients with acute thrombosed arteriovenous fistulas.
