Vascular surgeon Po-Jen Ko MD 血管外科 柯博仁醫師
  • 主頁
  • 醫師
  • 英文
  • 衛教
  • 學術論文
  • 國際會議
  • 教學資料
  • Blog
  • 主頁
  • 醫師
  • 英文
  • 衛教
  • 學術論文
  • 國際會議
  • 教學資料
  • Blog

Case study: Dialyaia graft outlet surgical revision

5/5/2014

0 Comments

 
Dialysis graft outelt stricture is one of the most frequent complication/situation that a dialysis surgeon faces in his dailiy practice. To cope with the stenotic lesion, the oldest way, probably the most reliable, is to do surgical revision.

There are two ways of surgical revision of the graft outlet. Here shows the so called" patch angioplasty" method. If the stenotic lesion is a focal or short lesion, we can just longitudinally incise teh graft outlet, and apply a ePTFE patch (which is the same material of the graft) to augment the outelt space. after the operation, the graft outlet should be widely open.

The operation usually takes around 1 hour to perform. ofcourse, reoperation sometimes will be troublesome. However, most of the stenotic lesion can be fixed by patch angioplasty. Only if the lesion is too long, then we will try to fix the lesion using a jump graft.




Ofcourse nowadays most of the graft outelt stenotic lesion are first treated with angioplasty balloons/ stenting, which is less invasive. However, surgeon should always keep himself familiar with the open procedure. and once the PTA doesnt work, we still can provide a feasible choice of treatment instead of giving up the graft!

Picture
Picture
0 Comments

Your comment will be posted after it is approved.


Leave a Reply.

    Blog by a
     Vascular surgeon in Taiwan

    Author

    Po-Jen Ko MD 

    RSS Feed

    Archives

    February 2025
    February 2024
    June 2014
    May 2014
    April 2014

    Categories

    All
    Case
    Dialysis
    Stenosis
    Stentgraft
    Vein

    RSS Feed


微創膠水治療經驗

累積豐富的靜脈曲張微創膠水治療經驗

除了大量微創雷射經驗以外,我們的專業團隊也已累積近1000 例的靜脈微創膠水治療經驗,透過先進技術與個人化診療方式,致力於為患者提供最優質的醫療服務。

若有任何疑問或需要進一步資訊,歡迎聯繫我們的診所!

© 2025 博診所. 保留所有權利。


Copyright © 2014-2025 by Po-Jen Ko