{"id":10585,"date":"2023-12-21T05:22:40","date_gmt":"2023-12-21T05:22:40","guid":{"rendered":"https:\/\/pato.com.sg\/vascularclinicwebsite\/?p=10585"},"modified":"2025-11-07T16:55:44","modified_gmt":"2025-11-07T16:55:44","slug":"avf-rescue-keyhole-procedure-called-angioplasty","status":"publish","type":"post","link":"https:\/\/www.vascularclinic.sg\/vi\/avf-rescue-keyhole-procedure-called-angioplasty\/","title":{"rendered":"Th\u1ee7 t\u1ee5c gi\u1ea3i c\u1ee9u l\u1ed7 kh\u00f3a AVF \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 nong m\u1ea1ch v\u00e0nh"},"content":{"rendered":"
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AVF, hay l\u1ed7 r\u00f2 \u0111\u1ed9ng t\u0129nh m\u1ea1ch, c\u00f3 th\u1ec3 c\u1ea7n \u0111\u01b0\u1ee3c c\u1ea5p c\u1ee9u trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p do bi\u1ebfn ch\u1ee9ng ho\u1eb7c v\u1ea5n \u0111\u1ec1 ph\u00e1t sinh v\u1edbi l\u1ed7 r\u00f2. M\u1ed9t s\u1ed1 l\u00fd do t\u1ea1i sao AVF c\u00f3 th\u1ec3 y\u00eau c\u1ea7u c\u1ea5p c\u1ee9u bao g\u1ed3m:<\/p>

  1. Huy\u1ebft kh\u1ed1i:<\/strong> AVF c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng l\u00e0m t\u1eafc ngh\u1ebdn d\u00f2ng m\u00e1u qua l\u1ed7 r\u00f2. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn gi\u1ea3m ho\u1eb7c kh\u00f4ng c\u00f3 l\u01b0u l\u01b0\u1ee3ng m\u00e1u, g\u00e2y \u0111au, s\u01b0ng v\u00e0 c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng cho c\u00e1c m\u00f4 xung quanh. C\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i gi\u1ea3i c\u1ee9u \u0111\u1ec3 lo\u1ea1i b\u1ecf c\u1ee5c m\u00e1u \u0111\u00f4ng v\u00e0 ph\u1ee5c h\u1ed3i l\u01b0u l\u01b0\u1ee3ng m\u00e1u.<\/li>
  2. H\u1eb9p:<\/strong> H\u1eb9p \u0111\u1ec1 c\u1eadp \u0111\u1ebfn vi\u1ec7c thu h\u1eb9p c\u00e1c m\u1ea1ch m\u00e1u t\u1ea1o n\u00ean AVF. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 h\u1ea1n ch\u1ebf l\u01b0u l\u01b0\u1ee3ng m\u00e1u v\u00e0 d\u1eabn \u0111\u1ebfn hi\u1ec7u qu\u1ea3 l\u1ecdc m\u00e1u k\u00e9m ho\u1eb7c h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng. C\u00e1c th\u1ee7 t\u1ee5c c\u1ea5p c\u1ee9u nh\u01b0 nong m\u1ea1ch ho\u1eb7c \u0111\u1eb7t stent c\u00f3 th\u1ec3 c\u1ea7n thi\u1ebft \u0111\u1ec3 m\u1edf r\u1ed9ng c\u00e1c m\u1ea1ch m\u00e1u b\u1ecb thu h\u1eb9p.<\/li>
  3. S\u1ef1 nhi\u1ec5m tr\u00f9ng:<\/strong> AVF c\u00f3 th\u1ec3 b\u1ecb nhi\u1ec5m tr\u00f9ng, d\u1eabn \u0111\u1ebfn \u0111\u1ecf, s\u01b0ng, \u0111au v\u00e0 s\u1ed1t. Trong tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng, nhi\u1ec5m tr\u00f9ng c\u00f3 th\u1ec3 l\u00e2y lan v\u00e0 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. Vi\u1ec7c gi\u1ea3i c\u1ee9u c\u00f3 th\u1ec3 bao g\u1ed3m vi\u1ec7c lo\u1ea1i b\u1ecf m\u00f4 b\u1ecb nhi\u1ec5m tr\u00f9ng, s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng sinh ho\u1eb7c th\u1eadm ch\u00ed l\u00e0 ph\u1eabu thu\u1eadt s\u1eeda ch\u1eefa AVF.<\/li>
  4. Ch\u1ee9ng ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch:<\/strong> An aneurysm<\/a> is a bulge or swelling in the blood vessel walls. If an aneurysm develops in an AVF, it can rupture and cause significant bleeding. Rescue procedures may be required to repair or reinforce the weakened blood vessel.<\/li>
  5. Tr\u01b0\u1edfng th\u00e0nh k\u00e9m:<\/strong> Sometimes, AVF fails to mature properly, meaning it does not develop into a usable access point for dialysis<\/a>. This can be due to inadequate blood flow or other factors. Rescue may involve surgical interventions to improve the maturation of the AVF or the creation of a new access point.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Trong t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u00e0y, quy tr\u00ecnh c\u1ea5p c\u1ee9u l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 gi\u1ea3i quy\u1ebft c\u00e1c bi\u1ebfn ch\u1ee9ng ho\u1eb7c v\u1ea5n \u0111\u1ec1 ph\u00e1t sinh v\u1edbi AVF, \u0111\u1ea3m b\u1ea3o r\u1eb1ng n\u00f3 ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng v\u00e0 cung c\u1ea5p kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn \u0111\u1ea7y \u0111\u1ee7 \u0111\u1ec3 l\u1ecdc m\u00e1u ho\u1eb7c c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb y t\u1ebf kh\u00e1c.<\/p>

    Vi\u1ec7c gi\u1ea3i c\u1ee9u AVF h\u1eb9p, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 h\u1eb9p, th\u01b0\u1eddng bao g\u1ed3m m\u1ed9t th\u1ee7 thu\u1eadt g\u1ecdi l\u00e0 nong m\u1ea1ch v\u00e0nh. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 c\u00e1c b\u01b0\u1edbc li\u00ean quan \u0111\u1ebfn vi\u1ec7c gi\u1ea3i c\u1ee9u AVF h\u1eb9p:<\/p>

    1. Ch\u1ea9n \u0111o\u00e1n:<\/strong> B\u01b0\u1edbc \u0111\u1ea7u ti\u00ean l\u00e0 x\u00e1c nh\u1eadn s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a t\u00ecnh tr\u1ea1ng h\u1eb9p trong AVF. \u0110i\u1ec1u n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n th\u00f4ng qua c\u00e1c k\u1ef9 thu\u1eadt h\u00ecnh \u1ea3nh nh\u01b0 si\u00eau \u00e2m, ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch ho\u1eb7c ch\u1ee5p t\u0129nh m\u1ea1ch.<\/li>
    2. S\u1ef1 chu\u1ea9n b\u1ecb:<\/strong> B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c chu\u1ea9n b\u1ecb cho th\u1ee7 thu\u1eadt, c\u00f3 th\u1ec3 bao g\u1ed3m g\u00e2y t\u00ea c\u1ee5c b\u1ed9 ho\u1eb7c g\u00e2y m\u00ea c\u00f3 \u00fd th\u1ee9c.<\/li>
    3. Truy c\u1eadp:<\/strong> M\u1ed9t v\u1ebft m\u1ed5 nh\u1ecf \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n g\u1ea7n AVF \u0111\u1ec3 ti\u1ebfp c\u1eadn m\u1ea1ch m\u00e1u.<\/li>
    4. Ch\u00e8n d\u00e2y d\u1eabn h\u01b0\u1edbng:<\/strong> M\u1ed9t d\u00e2y d\u1eabn \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o m\u1ea1ch m\u00e1u b\u1ecb thu h\u1eb9p, cho ph\u00e9p b\u00e1c s\u0129 di chuy\u1ec3n qua m\u1ea1ch.<\/li>
    5. \u0110\u1eb7t \u1ed1ng th\u00f4ng b\u00f3ng:<\/strong> M\u1ed9t \u1ed1ng th\u00f4ng b\u00f3ng, c\u00f3 m\u1ed9t qu\u1ea3 b\u00f3ng \u0111\u00e3 x\u00ec h\u01a1i \u1edf \u0111\u1ea7u, \u0111\u01b0\u1ee3c lu\u1ed3n qua d\u00e2y d\u1eabn v\u00e0 \u0111\u1eb7t trong ph\u1ea7n thu h\u1eb9p c\u1ee7a AVF.<\/li>
    6. L\u1ea1m ph\u00e1t bong b\u00f3ng:<\/strong> Qu\u1ea3 b\u00f3ng \u0111\u01b0\u1ee3c b\u01a1m c\u0103ng l\u00ean, \u00e9p m\u1ea3ng b\u00e1m ho\u1eb7c m\u00f4 h\u1eb9p v\u00e0o th\u00e0nh m\u1ea1ch, l\u00e0m gi\u00e3n m\u1ea1ch m\u00e1u.<\/li>
    7. Gi\u1ea3m ph\u00e1t v\u00e0 lo\u1ea1i b\u1ecf bong b\u00f3ng:<\/strong> Sau v\u00e0i gi\u00e2y, qu\u1ea3 b\u00f3ng x\u00ec h\u01a1i v\u00e0 \u0111\u01b0\u1ee3c l\u1ea5y ra kh\u1ecfi AVF.<\/li>
    8. \u0110\u00e1nh gi\u00e1:<\/strong> B\u00e1c s\u0129 ki\u1ec3m tra l\u01b0u l\u01b0\u1ee3ng m\u00e1u v\u00e0 s\u1ef1 c\u1ea3i thi\u1ec7n \u0111\u01b0\u1eddng k\u00ednh c\u1ee7a AVF b\u1eb1ng k\u1ef9 thu\u1eadt h\u00ecnh \u1ea3nh.<\/li>
    9. L\u1eb7p l\u1ea1i n\u1ebfu c\u1ea7n thi\u1ebft:<\/strong> N\u1ebfu ch\u1ed7 h\u1eb9p kh\u00f4ng \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft ho\u00e0n to\u00e0n, quy tr\u00ecnh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1eb7p l\u1ea1i b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c k\u00edch c\u1ee1 b\u00f3ng kh\u00e1c nhau ho\u1eb7c c\u00e1c k\u1ef9 thu\u1eadt kh\u00e1c nh\u01b0 \u0111\u1eb7t \u1ed1ng \u0111\u1ee1 \u0111\u1ed9ng m\u1ea1ch.<\/li>
    10. Kh\u00e9p k\u00edn:<\/strong> V\u1ebft m\u1ed5 \u0111\u01b0\u1ee3c \u0111\u00f3ng l\u1ea1i b\u1eb1ng ch\u1ec9 kh\u00e2u ho\u1eb7c d\u1ea3i d\u00ednh v\u00e0 \u00e1p d\u1ee5ng b\u0103ng v\u00f4 tr\u00f9ng.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, b\u00e1c s\u0129 c\u0169ng c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng m\u1ed9t \u1ed1ng l\u01b0\u1edbi kim lo\u1ea1i nh\u1ecf g\u1ecdi l\u00e0 stent \u0111\u1ec3 gi\u00fap gi\u1eef cho m\u1ea1ch m\u00e1u th\u00f4ng tho\u00e1ng sau khi nong m\u1ea1ch. Stent \u0111\u01b0\u1ee3c \u0111\u1eb7t tr\u00ean qu\u1ea3 b\u00f3ng v\u00e0 m\u1edf r\u1ed9ng t\u1ea1i v\u1ecb tr\u00ed h\u1eb9p, cung c\u1ea5p th\u00eam h\u1ed7 tr\u1ee3 \u0111\u1ec3 gi\u1eef cho m\u1ea1ch m\u00e1u th\u00f4ng.<\/p>

      Sau th\u1ee7 thu\u1eadt, b\u1ec7nh nh\u00e2n th\u01b0\u1eddng \u0111\u01b0\u1ee3c theo d\u00f5i trong m\u1ed9t th\u1eddi gian ng\u1eafn \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng. \u0110i\u1ec1u c\u1ea7n thi\u1ebft l\u00e0 ph\u1ea3i tu\u00e2n theo c\u00e1c h\u01b0\u1edbng d\u1eabn sau th\u1ee7 thu\u1eadt do nh\u00f3m ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe cung c\u1ea5p, c\u00f3 th\u1ec3 bao g\u1ed3m d\u00f9ng thu\u1ed1c \u0111\u1ec3 ng\u0103n ng\u1eeba \u0111\u00f4ng m\u00e1u ho\u1eb7c nhi\u1ec5m tr\u00f9ng, tr\u00e1nh c\u00e1c ho\u1ea1t \u0111\u1ed9ng v\u1ea5t v\u1ea3 v\u00e0 t\u00e1i kh\u00e1m th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 theo d\u00f5i ch\u1ee9c n\u0103ng c\u1ee7a AVF v\u00e0 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng n\u1eb7ng h\u01a1n.<\/p>

      Trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p, b\u1ea1n s\u1ebd c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng AVF ngay sau khi n\u00f3 \u0111\u01b0\u1ee3c gi\u1ea3i c\u1ee9u b\u1eb1ng nong m\u1ea1ch. M\u1ee5c \u0111\u00edch c\u1ee7a th\u1ee7 t\u1ee5c l\u00e0 m\u1edf r\u1ed9ng m\u1ea1ch m\u00e1u b\u1ecb thu h\u1eb9p v\u00e0 kh\u00f4i ph\u1ee5c l\u01b0u l\u01b0\u1ee3ng m\u00e1u th\u00edch h\u1ee3p. Sau khi quy tr\u00ecnh ho\u00e0n t\u1ea5t th\u00e0nh c\u00f4ng, l\u01b0u l\u01b0\u1ee3ng m\u00e1u qua AVF s\u1ebd \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n, cho ph\u00e9p b\u1ea1n s\u1eed d\u1ee5ng n\u00f3 \u0111\u1ec3 l\u1ecdc m\u00e1u.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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      Li\u00ean h\u1ec7 v\u1edbi ch\u00fang t\u00f4i h\u00f4m nay<\/span><\/span><\/a><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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      B\u00e1c s\u0129 ph\u1eabu thu\u1eadt t\u1ed5ng qu\u00e1t v\u00e0 m\u1ea1ch m\u00e1u cao c\u1ea5p <\/a><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      Ti\u1ebfn s\u0129 Tang Tjun Yip<\/a><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      \n\t\t\t\t\t\t\t\t\tB\u00e1c s\u0129 Tang \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 cao v\u1ec1 s\u1edf th\u00edch v\u00e0 k\u1ef9 n\u0103ng l\u00e2m s\u00e0ng chuy\u00ean bi\u1ec7t trong nhi\u1ec1u t\u00ecnh tr\u1ea1ng m\u1ea1ch m\u00e1u.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      \n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tFacebook-f<\/span>\n\t\t\t\t\t\t<\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tLinkedin-in<\/span>\n\t\t\t\t\t\t<\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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      \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\"Dr\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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      B\u00e1c s\u0129 ph\u1eabu thu\u1eadt t\u1ed5ng qu\u00e1t v\u00e0 m\u1ea1ch m\u00e1u cao c\u1ea5p <\/a><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      Ti\u1ebfn s\u0129 Julian Wong<\/a><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      \n\t\t\t\t\t\t\t\t\tB\u00e1c s\u0129 Wong \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 cao v\u1ec1 s\u1edf th\u00edch v\u00e0 k\u1ef9 n\u0103ng l\u00e2m s\u00e0ng chuy\u00ean bi\u1ec7t trong nhi\u1ec1u t\u00ecnh tr\u1ea1ng m\u1ea1ch m\u00e1u.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      \n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tFacebook-f<\/span>\n\t\t\t\t\t\t<\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tLinkedin-in<\/span>\n\t\t\t\t\t\t<\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

      AVF, hay l\u1ed7 r\u00f2 \u0111\u1ed9ng m\u1ea1ch t\u0129nh m\u1ea1ch, c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i gi\u1ea3i c\u1ee9u trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p do c\u00e1c bi\u1ebfn ch\u1ee9ng ho\u1eb7c v\u1ea5n \u0111\u1ec1 ph\u00e1t sinh v\u1edbi l\u1ed7 r\u00f2. M\u1ed9t s\u1ed1 l\u00fd do t\u1ea1i sao AVF c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i gi\u1ea3i c\u1ee9u bao g\u1ed3m: Huy\u1ebft kh\u1ed1i: AVF c\u00f3 th\u1ec3 h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng ch\u1eb7n d\u00f2ng m\u00e1u ch\u1ea3y qua l\u1ed7 r\u00f2. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn gi\u1ea3m ho\u1eb7c kh\u00f4ng c\u00f3 l\u01b0u l\u01b0\u1ee3ng m\u00e1u, g\u00e2y \u0111au,\u2026<\/p>","protected":false},"author":1,"featured_media":10593,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[8],"tags":[],"featured-on":[],"class_list":["post-10585","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-doctors-column"],"acf":[],"yoast_head":"\nAVF Rescue Keyhole Procedure Called Angioplasty<\/title>\n<meta name=\"description\" content=\"An AVF may need rescue in certain cases due to complications that arise with the fistula. Here are some reasons why AVF may require rescue.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vascularclinic.sg\/vi\/avf-rescue-keyhole-procedure-called-angioplasty\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"AVF Rescue Keyhole Procedure Called Angioplasty\" \/>\n<meta property=\"og:description\" content=\"An AVF may need rescue in certain cases due to complications that arise with the fistula. 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