一例有感染破溃风险的自体动静脉内瘘真性动脉瘤处理及文献复习
Management and Literature Review of a True Arteriovenous Fistula Aneurysm with Risk of Infection and Rupture
DOI: 10.12677/acm.2025.1551355, PDF,    科研立项经费支持
作者: 谢志伟, 刘欢欢, 余宗超, 崔 爽*, 胡 波：暨南大学附属第一医院肾内科血管通路中心，广东 广州；贾 莉：青岛大学附属医院海南分院，陵水黎族自治县人民医院血液透析科，海南 陵水黎族自治县
关键词: 自体动静脉内瘘；动脉瘤；感染；钙化；Arteriovenous Fistula； Aneurysm； Infection； Calcification
摘要: 动脉瘤是自体动静脉内瘘(Arteriovenous fistula, AVF)使用过程中的常见并发症，包括真性动脉瘤及假性动脉瘤，发病率从5%到60%不等，动脉瘤的感染、破裂出血、血栓可危及患者生命。本文报道1例自体动静脉内瘘严重钙化伴有感染破溃风险的真性动脉瘤处理，本中心予以左侧肱动脉修补术及左上肢动脉瘤切除术，避免了感染加重、出血等严重并发症的发生。
Abstract: Aneurysm is a common complication during the use of arteriovenous fistula (AVF), including true aneurysms and pseudoaneurysms, with incidence rates ranging from 5% to 60%. Aneurysm-related infections, rupture-induced hemorrhage, and thrombosis can be life-threatening. This article reports a case of severely calcified true aneurysm in an arteriovenous fistula with risk of infection and rupture. Our center performed left brachial artery repair and left upper extremity aneurysm resection, thereby preventing severe complications such as infection exacerbation and hemorrhage.
文章引用：谢志伟, 贾莉, 刘欢欢, 余宗超, 崔爽, 胡波. 一例有感染破溃风险的自体动静脉内瘘真性动脉瘤处理及文献复习[J]. 临床医学进展, 2025, 15(5): 161-166. https://doi.org/10.12677/acm.2025.1551355

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