Fogarty取栓导管在急性瘘管栓塞中的应用

目的观察应用Fogarty取栓导管处理动静脉内瘘血栓形成的效果。方法切开瘘管,以F3导管在球囊萎瘪的状态下轻柔地插入血管腔,导管穿过血栓后,注入肝素盐水使导管球囊向近侧插入,然后充起球囊导管,逐渐拉出导管,使血栓或栓子一起摘除。结果Fogarty球囊导管取栓术18例,15例使用效果良好,血流量可达250ml/min以上,完全可满足血液透析需要,3例患者透析血流量不足,6例患者重新栓塞,12例长期使用,最长26月。结论Fogarty取栓导管处理动静脉内瘘血栓形成,效果令人满意,尤其是有利于保存患者的原瘘管血管,延长瘘管使用寿命。

Removal of acute dialysis vascular access thrombus by using Fogarty catheters

Objective To evaluate the effect of Fogarty catheters in removing dialysisvascular access thrombus. Methods The thrombosed vascular access was incised and 3 Fr catheterwas inserted. After the Fogarty catheter broke through the thrombus, the saline was infused intothe balloon and then the catheter was pulled back. Results The operations were performed in 18patients. All of them received hemodialysis within 24h. The access flow was restored and allowedsuccessful hemodialysis with blood flow 250 ml/min in 15 patients, 3 patients had poor bloodflow. The fistulas rethrombosed in 6 patients. Twelve patients vascular accesses were used welland the longest using time was 26 months. Conclusions To remove the vascular access thrombusby using the Fogarty catheter could get a satisfied results which can reserv the same vascularaccess and prolonge the vascular access life.