Fogarty导管在动静脉内瘘中的应用  

Application of Fogarty Catheter in Internal Arteriovenous Fistula Operation

作　　者：胡朝平[1] 邱荣飞[1] 

机构地区：[1]南昌市第一医院普外科,南昌330008

出　　处：《实用临床医学（江西）》2009年第11期50-51,57,共3页Practical Clinical Medicine

摘　　要：目的通过使用Fogarty导管扩张血管的方法,提高血液透析动静脉内瘘术中血管条件不良时的通畅率。方法总结分析12例血管纤细、狭窄,经Fogarty导管扩张后行动静脉内瘘术患者的临床资料。结果12例患者10例血管通路通畅,无血栓形成;2例3 d后血管通路血栓形成,再次行取栓扩张重新吻合后血管通路通畅。结论慢性肾病患者需要建立动静脉内瘘完成维持生命的血液透析,在血管条件不理想,纤细、狭窄时使用Fogarty导管扩张血管,仔细修剪吻合口,能够建立良好的血管通路。Objective To improve the success rate of internal arteriovenous fistula operation for hemodialysis with Fogarty catheter tO dilate vessel under the circumstances of bad blood vessel. Methods The clinical data of 12 patients with tenuous and confined blood vessel undergoing internal arterovenous fistula operation after Fogarty catheter dilating vessel were retrospectively analyzed. Results The blood vessels of 10 patients were expedite without thrombus after operation. Two cases had thrombus on postoperative three days,and underwent embolectomy and reanatomosis. Conclusion Under the circumstances of bad blood vessel, Fogarty catheter to dilate vessel is an effective procedure to keep vascular patency in patients undergoing internal arteriovefious fistula operation for hemodialysis.

关 键 词：动静脉内瘘术 FOGARTY导管 血管扩张 血液透析 

分 类 号：R459.5[医药卫生—治疗学]