VENOUS ANGIOGRAPHY AND SURGICAL MANAGEMENT OF SUBCUTANEOUS HEMODIALYSIS FISTULAS

被引:26
作者
ANDERSON, CB
GILULA, LA
HARTER, HR
ETHEREDGE, EE
机构
[1] WASHINGTON UNIV,SCH MED,MALLINCKRODT INST RADIOL,DEPT RADIOL,ST LOUIS,MO 63130
[2] WASHINGTON UNIV,CHROMALLOY AMER KIDNEY CTR,SCH MED,DEPT MED,ST LOUIS,MO 63130
关键词
D O I
10.1097/00000658-197802000-00018
中图分类号
R61 [外科手术学];
学科分类号
摘要
Venous angiography of subcutaneous arteriovenous (A-V) hemodialysis fistulas involves venous injection of radiographic contrast material which spreads throughout the venous system and into the arteries via the A-V anastomosis when blood flow to the extremity is temporarily occluded. Direct arterial cannulation is avoided. Subsequent restoration of blood flow with rapid sequential roentgenograms differentiates arteries from veins and identifies direction of fistula blood flow. A 44 month experience with 125 consecutive studies in 82 patients was performed with a 0.8% complication rate. Indications for fistulography included insufficient blood flow during dialysis (67%), cardiac failure (10%), aneurysms (6%), sepsis of undetermined site (6%) and other (11%). Roentgenographic findings identified vascular stenoses or occlusions (45%), malpositioned dialysis needles (11%), aneurysms (9%), unsuitable veins for dialysis (6%), absence of septic origin (5%), abnormal flow rates or patterns (5%), technically unsuitable studies (2%) and normal or baseline studies (17%). Information useful in planning clinical management of the patient was obtained in 88% of studies and fistula operations were performed in 65 patients (52%). Venous fistulography can be an effective and safe method of evaluating and planning correction of A-V dialysis fistula complications.
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页码:194 / 204
页数:11
相关论文
共 4 条
[1]   CHRONIC HEMODIALYSIS USING VENIPUNCTURE AND A SURGICALLY CREATED ARTERIOVENOUS FISTULA [J].
BRESCIA, MJ ;
CIMINO, JE ;
APPEL, K ;
HURWICH, BJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1966, 275 (20) :1089-&
[2]   VENOUS ANGIOGRAPHY OF HEMODIALYSIS FISTULAS - EXPERIENCE WITH 52 STUDIES [J].
GILULA, LA ;
STAPLE, TW ;
ANDERSON, CB ;
ANDERSON, LS .
RADIOLOGY, 1975, 115 (03) :555-562
[3]  
GOTHLIN J, 1975, AM J ROENTGENOL, V125, P582
[4]   RETROGRADE VENOGRAPHY OF SUBCUTANEOUS ARTERIOVENOUS FISTULAS CREATED SURGICALLY FOR HEMODIALYSIS [J].
STAPLE, TW .
RADIOLOGY, 1973, 106 (01) :223-224