Narodna in univerzitetna knjižnica, Ljubljana (NUK)
Naročanje gradiva za izposojo na dom
Naročanje gradiva za izposojo v čitalnice
Naročanje kopij člankov
Urnik dostave gradiva z oznako DS v signaturi
  • Vloga intervencijske radiologije pri bolnikih v končnem stadiju ledvične odpovedi = The role of interventional radiology in management of patients with end-stage renal disease
    Šurlan, Miloš, 1936- ; Popović, Peter, 1946- ; Salapura, Vladka, 1969-
    The aim of this paper is to review the role of interventional radiology in themanagement of hemodialysis vascular access and complications following renal transplantation. The evaluation of patients ... with hemodialysis vascular access is complex. It includes a radiological/ultrasonic evaluation of peripheral veins in the upper extremities with venous mapping and evaluation of the central vein prior to access placement and radiological detection and treatment of the stenosis and thrombosis in dysfunctional dialysis fistulas. Preoperative screening enables the identification of a suitable vessel to create a hemodynamically sound dialysis fistula. Clinical and radiological detection of hemodynamically significant stenosis or occlusion requires fistulography and endovascular treatment. Endovascular prophylactic dilatationof stenosis greater than 50% with associated clinical abnormalities,such as flow-rate reduction, is warranted to prolong access patency. The technical success rates are over 90% for dilatation. One-year primary patency rate of dilated forearm fistulas is 51%, versus 40% for grafts. Stents are placed only in selected cases; routinely in the central vein following dilatation, in ruptured veins, and in case of pronounced elastic recoil. Thrombosed fistulas and grafts can be declotted by purely mechanical methods or combined with a lytic drug. The success rate of this technique is 89 to 90%. The primary patency rate is 8% to 26% per year and thesecondary patency rate 75% per year. In renal transplantation, the most frequent radiologically evaluated and treated complications are abnormalities of the vasculature. Vascular complications include occlusion or stenosis of arterial or venous supply, arteriovenous fistulas and pseudoaneurysms. (Abstract truncated at 2000 characters).
    Vir: Medicinski razgledi. Supplement. - ISSN 0353-3484 (Letn. 42, supl. 2, maj 2003, str. 119-132)
    Vrsta gradiva - prispevek na konferenci
    Leto - 2003
    Jezik - slovenski
    COBISS.SI-ID - 16286425

vir: Medicinski razgledi. Supplement. - ISSN 0353-3484 (Letn. 42, supl. 2, maj 2003, str. 119-132)

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