臨牀透析 Vol.19 No.12(3-5)


特集名 ブラッドアクセスの修復法 -- BAIVTを中心に
題名 修復の実際と成績 (5)カッティングバルーン
発刊年月 2003年 11月
著者 天野 泉 社会保険中京病院透析療法科
【 要旨 】 透析ブラッドアクセス用カッティングバルーンは,バルーンの周りに4個の刃を有している.今回,強固なブラッドアクセス狭窄 (n=224) に対しカッティング拡張を行い,拡張成功率は85.3% (n=191) であった.これら成功例における6カ月後の一次開存率は83.8%,二次開存率は96.9%,そして9カ月後の一次開存率は73.3%,二次開存率は95.3%であった.対象となった強固な狭窄例における各々種類別での開存性の比較では,自己血管内シャント狭窄,人工血管と自己静脈との吻合部狭窄そしてステント内狭窄の順であった.
Theme Repair of Complication of Blood Access in Long-term Hemodialysis Patients with Special Reference to Interventional Methods
Title Peripheral cutting balloon
Author Izumi Amano Department of Hemodialysis, Chukyo Hospital
[ Summary ] The peripheral cutting balloon used for hemodialysis access has four blades spaced around it. In this study, cutting and dilation were done on 224 patients with resistant stenosis related to blood access. The rate of successful cutting dilation was 85.3 percent over all. In these patients, at the six month mark, primary patency was 83.8 percent and secondary patency was 96.9 percent. Further more, primary patency was 73.3 percent and secondary patency was 95.3 percent at nine months. Among the those with resistant blood access stenosis, those treated with a peripheral cutting balloon, displayed excellent patency in relation to that associated with A-V fistula and stenosis in artificial grafts and efferent veins.
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