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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.
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页码:98 / 101
页数:4
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