Objective To evaluate the feasibility and application value of the through and through tech-nique in the treatment of central venous occlusion in hemodialysis patients.Methods A retrospective analysis was conducted on 17 hemodialysis patients with central venous occlusion and undergoing vascular interven-tion surgery at the hospital from January 2020 to June 2023.Sharp recanalization technique or"needle-wire"technique was used to establish a traction wire pathway,followed by balloon dilation or balloon dilation com-bined with stent implantation.Surgical success rate,incidence of complications,and postoperative patency rate were recorded.Results Among the 17 patients,one patient experienced vessel perforation during wire re-canalization,resulting in surgical failure,while the remaining 16 cases achieved surgical success with a suc-cess rate of 94.12％.There were no bleeding,mediastinal hematoma,cardiac tamponade,or central venous rupture during the manipulations,and no surgical-related deaths occurred.All 16 patients who had successful surgery were able to undergo normal hemodialysis,and the swelling in the upper limbs and face significantly subsided.The follow-up period ranged from 6 to 25 months,with a median follow-up time of 13.5(8.0,15.0)months.The primary patency rates after the operation for 6 months and one year were 93.75％and 75.00％,re-spectively.No stent displacement occurred during the follow-up period.Conclusion The through and through technique has shown significant efficacy with a high success rate and a low incidence of complica-tions in the treatment of central venous occlusion in hemodialysis patients,suggesting its clinical applicability.
Central venous occlusionThrough and through techniqueHemodialysis
万方数据
维普
