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锁骨下静脉和腋静脉狭窄,可继发于新生物,创伤,中心静脉内留置导管及血流透析通道瘘的高流量状态。原发性锁骨下-腋静脉血栓形成,被称为特发性,创伤性,劳力性或应激性血栓形成,也认为是由于潜在的锁骨下静脉和腋静脉狭窄引起的血流停滞。作者对19例病人进行29次锁骨下和腋静脉扩张术(16例病人有透析通道瘘),其狭窄固定发生在解剖压迫部位或以前的创伤部。16次腋静脉扩张术中,15次扩张术为短的节段性窄狭,1次为静脉瓣肥厚。13次锁骨下静脉扩张术,其中6次扩张为位于胸腔入口的狭窄,2次为静脉瓣肥厚,4次为以前放置中心静脉导管经路的狭窄,1次为左头臂静脉与上腔静脉交界处的狭窄。经同侧扩大的静脉或Gore-tex静脉短路移植处穿刺进路27次,经右
Subclavian vein and axillary vein stenosis can be secondary to new biological, trauma, central venous indwelling catheters and high-flow state of the hemodialysis access fistula. Primary subclavian-axillary thrombosis, known as idiopathic, traumatic, exertional or stress thrombosis, is also thought to be due to a potential blood flow arrest due to subclavian and axillary stenosis. The authors performed 29 subcapsular and axillary dilations on 19 patients (16 patients had dialysis fistulas) whose stenosis occurred at the site of anatomic compression or previous trauma. In 16 axillary venous dilation, 15 dilations were short segmental narrow constriction and 1 was venous valve hypertrophy. Thirteen subclavian venous dilations, of which 6 were dilated to the stenosis at the thoracic inlet, 2 to the venous valve hypertrophy, 4 to the previous stenosis of the central venous catheter, 1 to the left brachiocephalic vein and superior vena cava The junction of the narrow. The ipsilateral enlarged vein or Gore-tex vein short-circuit transplants puncture approach 27 times, through the right