Journal of Nanchang University Medical Sciences 2018 Vol.58 No AVF AVF % % 51 / % 47 /

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1 Journal of Nanchang UniversityMedical Sciences2018 Vol.58 No AVF AVF % %51 / %47 / %42 / %37 / >200 ml min -1 AVF AVF AVF R692.5 DOI /j.cnki.ncdm A Treatment of Autogenous Arteriovenous Fistula Stenosis or Occlusion with Balloon Dilatation ZHOU Wei ZHU Xian-hua XIONG Qing-gen ZENG Qing-fu CHEN Feng Department of Vascular Surgery the Second Affiliated Hospital of Nanchang University Nanchang China ABSTRACTObjective To summarize the clinical efficacy of balloon dilationin the treatment of autogenous arteriovenous fistulaavfstenosis or occlusion. Methods Fifty-two patients with AVF stenosis were treated with balloon dilation between January 2013 and June The blood flow volume in AVF and findings of digital subtraction angiographydsawere observed before and after operation to analyze the therapeutic effect.results The success rate ofballoon dilation was 100%.After follow-up for and 12 months the patency rates were 98.1%51/5290.4%47 /5280.8%42 /52and 71.2%37 / 52respectively.Fifteen patients had restenosis within 1 year after operation.however the blood flow volumemet dialysis requirement>200 ml min -1 after the second balloon dilation.conclusion Balloon dilation has significant short-term effectivenessfor treating AVF stenosis.percutaneous transluminal angioplasty can be performed under ultrasound or DSA guidance which should be chosen according to patient s condition and doctor s technique. The selection of operative approach and balloon is critical for the treatment of AVF stenosis.the patency rate decreases with time after balloon dilation and the long-term effect needs to be further studied. KEY WORDSballoon dilationarteriovenous fistula autogenousstenosisocclusiordialysis

2 62 AVF AVF 1.1 AVF ~ 75 1 ~ 11 8 ~ AVF T1 n T2 n n n n 1<T <T <T <T <T <T <T <T <T <T <T atm 1 ~ 2 min 1 ~ 2 2 5F 4F DSA 22G 4F C F 4F 5F 4F 1 mm 4 mm 5 mm mg kg -1 1 ~ 2 cm 4000 U q12 h 5 ~ 7 d Mustang 23 3 atm1 atm = kpa EV3 1.3 SPSS % t P< % %

3 % P< % 80.8% 71.2% P < >200 ml min -1 A B C 1 AVF Mustang 23 atm A B C 2 AVF Mustang 23 atm

4 64 2 n = 52 x±s PTA V /ml min -1 p /mmhg ± ± ± ±12.56 P <0.05 < mmhg = kpa AVF n = 52 3 AVF AVF ~ 3 cm 8-10 AVF DSA % 8 4 AVF CT CTA DSA AVF 9 CTA 11 4 ~ DSA 5 mm 5 ~ 6 10 ~ 20 mm AVF

5 65 6Irvinn J Oldman N Semin Dial Manninen H I Kaukanen E T AVF 7 d Beathard G A Arnold P early fistula failure J Forgarty 9Guedes Marques M Ibeas J AVF AVF Ito Y Sato T Okada R AVF Patanè D Nefrol 2009 X 13Hansen M A B X B DSA DSA PTA 1Roy Chaudhury P Kruska L.Future directions for vascular access for hemodialysis J.Semin Dial Campors R P Donaacimento M M Chula D C et al.stenosisin hemodialysis arteriovenous fistulaevaluatino and treatmentj. Hemodial Int Vascular Access Work Group.Clinical practice guidelines for vascular access J.Am J Kidney Dis S Singer Jordan J Papura S. Cutting balloon angioplasty for primarytreatment of hemodialysis fistulavenous stenosispreliminary results J.J Vasc Interv Radiol Sedgwick P et al.do blood pressure levels and other patient characteristics influence native fistula patency J. 273 E27-E31. Ikahaimo R et al. Brachial arterial accessendovascular treatment of failing Brescia-Cimino hemodialysis fistulas-initial success and long-term resultsj. Radiology Jackson J et al. Aggressive treatment of.kidney Int Botelho C et al.doppler Ultrasounda powerful tool for vascular access surveillancej. Semin Dial 10Ahmad I.Salvage of arteriovenous fistula by angioplasty of collateral veins establishing a new channel J.J Vasc Access et al.comparison of clinical effectiveness between surgical and endovascular treatment for thrombotic obstruction in hemodialysis accessj. J Vasc Access Morale W Malfa P et al.steno-obstructions of haemodialytic FAVnew aspects of endovascular treatmentsj. G Ital Gibsholm Madsen K Christensen T et al.endovascular treatment of dysfunctional haemodialysis fistulasj. Ugeskr Laeger / Maeda K Furukawa A Yamasaki M et al.percutaneous transluminal angioplastyfor Brescia-Cimino hemodialysis fistula dysfunctiontechnical success rate patency rate and factors that influence the results J.Eur J Radiol Kitrou P Spiliopoulos S Karnabatidis D et al.cutting balloons covered stents and paclitaxel-coated balloons for the treatment of dysfunctional dialysis access J.Expert Rev Med Devices Karnabatidis D Kitrou P.Drug eluting balloons for resistant arteriovenous dialysis access stenosisj. J Vasc Access S J Wakabayashi M Hanada S Nakano H et al. Ultrasound-guided endovascular treatment for vascular access malfunctionresults in 4896 cases J.J Vasc Access Gorin D R Perrino L Potter D M et al.ultrasound-guided angioplasty of autogenous arteriovenous fistulas in the office setting J. J Vasc Surg 櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐櫐 Fraser J F Mass A Y Brown S et al.transnasal endoscopic resection of a cavernous sinus hemangiomatechnical note and review of the literature J.Skull Base Iwai Y Yamanaka K Nakajima H et al.stereotactic radiosurgery for cavernous sinus cavernous hemangioma--case report J.Neurol Med ChirTokyo J J J J MRI

211 better than those in the control group, with significant difference between two groups (P < 0.05). The ocular hypertension of patients in the cont

211 better than those in the control group, with significant difference between two groups (P < 0.05). The ocular hypertension of patients in the cont 210 毛果芸香碱联合拉坦前列素治疗原发性急性闭角型青光眼的疗效观察符元党 1, 郑振优 2, 林再雄 2, 周吉良 1. 昌江黎族自治县中西医结合医院, 海南昌江 572700 2. 海南医学院附属医院眼科, 海南海口 570100 1 摘要 : 目的探讨