Chinese Journal of Blood Purification ›› 2022, Vol. 21 ›› Issue (02): 123-125.doi: 10.3969/j.issn.1671-4091.2022.02.013

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Anesthesia for percutaneous angioplasty in maintenance hemodialysis patients

  

  1. 1Department of Nephrology, Zhejiang hospital, Hangzhou 310013, China;  2Department of Nephrology, the first hospital of Hebei Medical University, Shijiazhuang 050030
  • Received:2021-07-28 Revised:2021-09-14 Online:2022-02-12 Published:2022-02-17

Abstract: 【Abstract】Arteriovenous fistula is the recommended vascular access for maintenance hemodialysis patients. Percutaneous angioplasty(PTA) is an important means to treat the complications of arteriovenous fistula and has become the first-line treatment recommended by the guidelines at present. Percutaneous angioplasty session is often accompanied by severe pain, which affects the medical experience of patients. Appropriate anesthesia and sedation can reduce the pain. However, due to the particularity of uremic patients, there has been no unified conclusion on the anesthesia choice of percutaneous angioplasty. This paper reviews various anesthesia methods in previous percutaneous angioplasty in order to draw a tendentious conclusion.

Key words: Hemodialysis, Arteriovenous fistula, Percutaneous angioplasty, Anesthesia

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