書誌事項
- タイトル別名
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- Pulsed-spray pharmacomechanical thrombolysis in the treatment of an acutely thrombosed hemodialysis fistula.
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In order to achieve successful hemodialysis treatment, the maintenance of patent vascular access capable of sufficient blood flow is essential. In the case of blood-access failure an interventional technique such as percutaneous transluminal angioplasty is increasingly applied. We report a thrombosed E-PTFE A-V fistula treated by pulse-spray pharmacomechanical thrombolysis (PSPMT).<br>The patient is a 74-year-old man with chronic renal failure secondary to chronic glomerulonephritis, who had been undergoing hemodialysis for five years. He had been implanted E-PTFE-graft fistula between the left brachial artery and vein, and the left subclavian vein and superior vena cava. He was admitted with acute occlusion of the hemodialysis access. After angiography, we tried to lyse the thrombosis in the graft with PSPMT and a concomitant administration of Urokinase of 600, 000 units. About 1 hour after the treatment recanalization was successfully achieved.<br>The increasing number of elderly patients and diabetic patients is a recent worldwide trend, and access failure is frequently encountered. In these patients PSPMT is promising because of its safety and effectiveness.
収録刊行物
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- 日本透析医学会雑誌
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日本透析医学会雑誌 30 (4), 271-275, 1997
一般社団法人 日本透析医学会
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詳細情報 詳細情報について
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- CRID
- 1390001204676573312
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- NII論文ID
- 130003874797
- 10006358380
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- NII書誌ID
- AN10432053
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- ISSN
- 1883082X
- 13403451
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可