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

页码：98 / 101

页数：4

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