摘要
血透通路血管狭窄是血透病人最常见的并发症之一,腔内介入已是血管狭窄的首选治疗方式。腔内介入术后的再狭窄是血透通路领域的难点问题。根据再狭窄发生的部位,可分为外周血透通路再狭窄和中心静脉再狭窄,治疗方式包括经皮腔内血管成形术、经皮腔内支架植入术和开放手术等。随着新技术和新器材的出现,对于再狭窄的治疗有了许多新的治疗选择,如药物球囊、覆膜支架、血透可靠流出道移植物装置等。通过合理选择和使用,可提高血透通路再狭窄治疗的通畅率。
Hemodialysis access stenosis is one of the most common complications in hemodialysis patients.Endovascular intervention has become the first choice for the treatment of vascular stenosis,but restenosis after endovascular intervention has become a difficult problem in the field of hemodialysis access.According to the location,restenosis can be divided into peripheral restenosis and central venous restenosis.The treatment methods include percutaneous transluminal angioplasty,percutaneous transluminal stent implantation,open surgery and so on.With the development of new technology,there are many new treatment options for restenosis,such as drug-coated balloon,stent graft,hemodialysis reliable outflow graft device and so on.The patency rate of restenosis treatment can be improved by reasonable selection and usage of these new methods.
作者
倪其泓
张岚
Ni Qihong;Zhang Lan(Department of Vascular Surgery,Renji Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200127,China)
出处
《临床外科杂志》
2020年第6期590-592,共3页
Journal of Clinical Surgery
关键词
血透通路
再狭窄
治疗进展
passage for blood purification
restenosis
treatment progress
