摘要
狭窄是血液透析血管通路最常见的并发症,经皮腔内球囊血管成形术(PTA)是目前狭窄的一线治疗方法。但基于球囊的PTA治疗与通路通畅率不佳有关。因此,不同类型的支架开始应用于血管通路狭窄的治疗。其中,覆膜支架因同时具有机械支撑力及生物性屏障防止内膜增生,应用逐渐广泛,也是近年研究的热点。本文拟就覆膜支架在血管通路不同解剖部位狭窄中的应用及相关并发症等进行综述。
Stenosis is the most common complication in hemodialysis vascular access.Percutaneous transluminal angioplasty is the first-line treatment for these lesions.However,the balloon-based approaches are associated with poor patency.Different types of stents are invented to improve the above actuality.Among them,the covered stent has been widely used because of its mechanical support and biological barrier to prevent intimal hyperplasia,which is also a research hotspot in recent years.In this article,we review the literature of stent grafts for different anatomic locations of vascular access stenotic lesions and its complications.
作者
张丽红
詹申(综述)
王玉柱(审校)
ZHANG Lihong;ZHAN Shen;WANG Yuzhu(Department of Nephrology,Haidian Hospital(Beijing Haidian Section of Peking University Third Hospital),Beijing 100080,China)
出处
《肾脏病与透析肾移植杂志》
CAS
CSCD
北大核心
2022年第4期384-389,共6页
Chinese Journal of Nephrology,Dialysis & Transplantation
基金
北京市海淀区卫生健康发展科研培育项目(HP2022-03-101001)。
关键词
血液透析
血管通路
狭窄
覆膜支架
hemodialysis
vascular access
stenosis
stent graft
