动静脉内瘘超声引导经皮腔内血管成形术规范化操作流程专家共识(第1版)  

Expert consensus on standardized operating procedures of ultrasound-guided percutaneous transluminal angioplasty of arteriovenous access

作　　者：中国医院协会血液净化中心分会血管通路专业组 王玉柱[2] 刘宗旸 王沛 张丽红[5] 何强[6] 陆明晰[7] The Working Group on Vascular Access Blood Purification Center Branch of Chinese Hospital Association;WANG Yu-zhu

机构地区：[1]中国医院协会血液净化中心分会 [2]北京市海淀医院(北京大学第三医院海淀院区)肾内科,北京100080 [3]贵州医科大学附属肿瘤医院 [4]郑州大学第一附属医院 [5]河北医科大学第一医院 [6]四川省人民医院 [7]浙江大学医学院附属邵逸夫医院

出　　处：《中国血液净化》2024年第12期881-890,共10页Chinese Journal of Blood Purification

摘　　要：狭窄、闭塞是动静脉内瘘最常见的并发症,经皮腔内血管成形术是该并发症的一线治疗方法。近年来,超声引导经皮腔内血管成形术在我国逐渐开展,但目前各医院治疗理念与技术操作不统一,有些医生细节掌握不到位、器材应用欠规范,因此治疗效果欠理想,手术相关并发症发生率较高;与此同时,尚有很多医院有开展此技术的需求。鉴于此,本专家共识由中国医院协会血液净化中心分会血管通路专业组组成编写委员会,结合循证医学证据及临床实践经验,系统介绍了动静脉内瘘超声引导经皮腔内血管成形术的规范化操作流程。希望在本共识指导下,我国动静脉内瘘超声引导经皮腔内血管成形术能够进一步普及、规范并提高,造福广大血液透析患者。Stenosis and occlusion are common complications of arteriovenous access,and percutaneous transluminal angioplasty is the first-line treatment for these complication.In recent years,ultrasound-guided percutaneous transluminal angioplasty is gradually being developed in China.However,there is currently a lack of uniformity in treatment concepts and technical operations among various units.Some doctors may not grasp the details properly,or use equipment in a standardized way,which may result in unsatisfactory treatment outcomes and a higher incidence of procedure-related complications.Meanwhile,there are still many units in need of adopting this technology.Given these issues,this expert consensus compiled by the Vascular Access Expert Committee of the Blood Purification Center Branch of the Chinese Hospital Association,combined evidence-based medicine and clinical practice experience,systematically introduced the standardized operation procedures for ultrasound-guided percutaneous transluminal angioplasty of arteriovenous access.The aim of this consensus is to promote,standardize,and improve the performance of ultrasound-guided arteriovenous access percutaneous transluminal angioplasty,benefiting hemodialysis patients in our country.

关 键 词：动静脉内瘘 经皮腔内血管成形术 超声 

分 类 号：R318.16[医药卫生—生物医学工程]