利用动脉压力测量辅助动脉流入量近端化技术治疗血液透析通路引起的远端缺血

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-08-02 DOI:10.1016/j.jvscit.2024.101590

Samuel Paci MD , Vincent Narvaez MD , Yana Etkin MD

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引用次数: 0

摘要

血液透析通路诱发的远端缺血（HAIDI）是血液透析通路手术中一种不常见但可能造成严重后果的并发症。HAIDI 的处理方法取决于通路的容量流量，可能包括绑扎、动脉导流近端化、使用远端导流进行修整、远端血管再通间隔结扎或通路结扎。各种辅助技术已被用于术中确认远端动脉血流的改善。在此，我们介绍了一例使用动脉导流近端化技术治疗 3 级 HAIDI 患者的病例，同时辅助使用动脉内压力梯度测量。

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Proximalization of arterial inflow with adjunctive arterial pressure measurements for management of hemodialysis access-induced distal ischemia

Hemodialysis access-induced distal ischemia (HAIDI) is an uncommon, yet potentially devastating, complication of hemodialysis access surgery. Management of HAIDI depends on the access' volume flow and may involve banding, proximalization of arterial inflow, revision using distal inflow, distal revascularization interval ligation, or access ligation. Various adjunctive techniques have been used to confirm improved distal arterial flow intraoperatively. Here, we present a case of a patient with grade 3 HAIDI treated with proximalization of arterial inflow technique with the adjunctive use of intra-arterial pressure gradient measurements.

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.