Hypercoagulability: a cause of vascular access failure.

H M Kauffman, G A Ekbom, M B Adams, C V Hussey
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Abstract

In a group of 58 patients requiring tertiary vascular access procedures for maintenance of hemodialysis, 29 patients who thrombosed well-functioning fistulas were evaluated for both antithrombin deficiencies as well as platelet hyperaggreability. Thirteen of these 29 patients were found to have one or more coagulation defects. Following correction of the hypercoagulable state, tertiary vascular access procedures, using autologous tissues, were 100% successful in these 13 patients.

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高凝性:血管通路失败的一个原因。
在一组58例需要三级血管通路维持血液透析的患者中,29例血栓形成功能良好的瘘管患者被评估为抗凝血酶缺乏和血小板高聚集性。29例患者中有13例发现有一种或多种凝血功能缺陷。在纠正高凝状态后,使用自体组织的三级血管通路手术在这13例患者中100%成功。
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