LOCAL THROMBOLYSIS AND THROMBOASPIRATION IN THE TREATMENT OF ACUTELY THROMBOSED ARTERIOVENOUS HEMODIALYSIS FISTULAS

被引:77
|
作者
POULAIN, F
RAYNAUD, A
BOURQUELOT, P
KNIGHT, C
ROVANI, X
GAUX, JC
机构
[1] Cardiovascular Department of Radiology, Paris 6th University, Broussais Hopital, Paris, 75014
[2] Urology Department of Surgery, St Joseph's Hospital, Paris
关键词
THROMBOLYSIS; THROMBOASPIRATION; ARTERIOVENOUS FISTULA; HEMODIALYSIS;
D O I
10.1007/BF02577703
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Sixty-four thrombosed hemodialysis fistulas in 55 patients were treated by local low-dose infusion of urokinase, percutaneous angioplasty, and thromboaspiration. Lysis was initially successful in 38 cases (59%) without any negative side effects. At 1 year, 59% of these fistulas were still functional. When the procedures failed, surgery saved the vascular access in 17 cases. Local fibrinolysis combined with thromboaspiration and angioplasty provides a clinically useful means of access preservation.
引用
收藏
页码:98 / 101
页数:4
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