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
来源：
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 1991年 / 14卷 / 02期
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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