肘前穿静脉支架移植治疗放射性脑动静脉瘘1例报告。

IF 1.4 4区 医学 Q3 UROLOGY & NEPHROLOGY
Seminars in Dialysis Pub Date : 2023-07-01 Epub Date: 2023-05-28 DOI:10.1111/sdi.13158
Daniel Mendes, Paulo Almeida, Andreia Pinelo, João Castro, António Norton-de-Matos
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引用次数: 0

摘要

支架移植物已越来越多地用于血液透析动静脉通路,特别是在经皮腔内血管成形术(PTA)后复发性狭窄或静脉破裂的情况下。尽管它们限制了新生内膜增生,但支架边缘的狭窄发展仍然令人担忧。尽管它们有优点,但由于肘部运动带来的骨折风险以及限制插管部位的可能性,它们很少用于前臂静脉。本报告介绍了一种支架移植物在挽救一名84岁男性放射性脑动静脉瘘中的新应用,该患者在PTA失败后通过狭窄的管前穿通静脉治疗肘部单一流出道。血管通路仍是专利18 术后数月,尽管吻合口附近狭窄需要PTA,但无需对该靶病变进行额外治疗。本报告强调了在动静脉血管通路中进一步使用覆膜支架的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Antecubital perforating vein stent-grafting for radiocephalic arteriovenous fistula recovery: A case report.

Stent-grafts have been increasingly used in hemodialysis arteriovenous accesses, particularly in recurrent stenosis or in cases of vein rupture after percutaneous transluminal angioplasty (PTA). Although they limit neointimal hyperplasia, stenosis development at stent edges remains a concern. Despite their advantages, they are seldom used on the forearm veins due to fracture risk associated with elbow motion and the potential to limit cannulation sites. This report presents a novel application of stent-grafts in salvaging a radio-cephalic arteriovenous fistula in an 84-year-old male to treat a single outflow path at the elbow through a stenosed antecubital perforating vein, after failed PTA. The vascular access remained patent 18 months after the procedure, with no need for additional treatments at this target lesion, even though a PTA was required for juxta-anastomotic stenosis. This report highlights a possible further use of covered stents in arteriovenous vascular accesses.

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来源期刊
Seminars in Dialysis
Seminars in Dialysis 医学-泌尿学与肾脏学
CiteScore
3.00
自引率
6.20%
发文量
91
审稿时长
4-8 weeks
期刊介绍: Seminars in Dialysis is a bimonthly publication focusing exclusively on cutting-edge clinical aspects of dialysis therapy. Besides publishing papers by the most respected names in the field of dialysis, the Journal has unique useful features, all designed to keep you current: -Fellows Forum -Dialysis rounds -Editorials -Opinions -Briefly noted -Summary and Comment -Guest Edited Issues -Special Articles Virtually everything you read in Seminars in Dialysis is written or solicited by the editors after choosing the most effective of nine different editorial styles and formats. They know that facts, speculations, ''how-to-do-it'' information, opinions, and news reports all play important roles in your education and the patient care you provide. Alternate issues of the journal are guest edited and focus on a single clinical topic in dialysis.
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