{"id":9959,"date":"2023-09-26T05:58:45","date_gmt":"2023-09-26T05:58:45","guid":{"rendered":"https:\/\/pato.com.sg\/vascularclinicwebsite\/?p=9959"},"modified":"2025-11-14T09:28:25","modified_gmt":"2025-11-14T09:28:25","slug":"dialysis-access-explore-angioplasty-procedure-for-avf-rescue","status":"publish","type":"post","link":"https:\/\/www.vascularclinic.sg\/vi\/dialysis-access-explore-angioplasty-procedure-for-avf-rescue\/","title":{"rendered":"Ti\u1ebfp c\u1eadn l\u1ecdc m\u00e1u: Kh\u00e1m ph\u00e1 quy tr\u00ecnh nong m\u1ea1ch \u0111\u1ec3 gi\u1ea3i c\u1ee9u AVF"},"content":{"rendered":"
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Optimal dialysis access is the lifeline for dialysis patients. This crucial procedure filters waste and excess fluids from the bloodstream, an essential treatment for kidney dysfunction. The efficiency of this procedure relies on the accessibility and functionality of arteriovenous fistulas (AVFs) \u2013 surgically created connections between an artery and a vein designed to facilitate dialysis<\/a>.<\/p>

Tuy nhi\u00ean, khi c\u00e1c bi\u1ebfn ch\u1ee9ng ph\u00e1t sinh v\u1edbi AVF, ch\u1eb3ng h\u1ea1n nh\u01b0 h\u1eb9p m\u1ea1ch m\u00e1u ho\u1eb7c h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng, t\u00ednh to\u00e0n v\u1eb9n c\u1ee7a \u0111\u01b0\u1eddng ti\u1ebfp c\u1eadn l\u1ecdc m\u00e1u c\u00f3 th\u1ec3 b\u1ecb t\u1ed5n h\u1ea1i. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nh\u01b0 v\u1eady, c\u00e1c chuy\u00ean gia v\u1ec1 m\u1ea1ch m\u00e1u c\u1ee7a ch\u00fang t\u00f4i c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng quy tr\u00ecnh nong m\u1ea1ch \u0111\u1ec3 kh\u00f4i ph\u1ee5c l\u01b0u l\u01b0\u1ee3ng m\u00e1u quan tr\u1ecdng c\u1ea7n thi\u1ebft \u0111\u1ec3 l\u1ecdc m\u00e1u hi\u1ec7u qu\u1ea3.<\/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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Khi n\u00e0o c\u1ea7n c\u1ea5p c\u1ee9u AVF<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Gi\u1ea3i c\u1ee9u l\u1ed7 r\u00f2 \u0111\u1ed9ng t\u0129nh m\u1ea1ch (AVF) \u0111\u1ec1 c\u1eadp \u0111\u1ebfn c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p v\u00e0 th\u1ee7 t\u1ee5c y t\u1ebf \u0111\u1ec3 qu\u1ea3n l\u00fd c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1edbi AVF. Nh\u1eefng k\u1ef9 thu\u1eadt n\u00e0y c\u00f3 th\u1ec3 bao g\u1ed3m c\u00e1c th\u1ee7 thu\u1eadt nong m\u1ea1ch v\u00e0nh AVF, c\u1eaft b\u1ecf huy\u1ebft kh\u1ed1i (lo\u1ea1i b\u1ecf c\u1ee5c m\u00e1u \u0111\u00f4ng), \u0111\u1eb7t stent ho\u1eb7c ph\u1eabu thu\u1eadt ch\u1ec9nh s\u1eeda \u0111\u1ec3 s\u1eeda ch\u1eefa k\u1ebft n\u1ed1i.<\/p>

Reasons why AVF may require rescue include:<\/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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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"Thrombosis\"\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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huy\u1ebft kh\u1ed1i<\/strong> ho\u1eb7c c\u1ee5c m\u00e1u \u0111\u00f4ng ch\u1eb7n d\u00f2ng m\u00e1u ch\u1ea3y qua l\u1ed7 r\u00f2, d\u1eabn \u0111\u1ebfn l\u01b0u l\u01b0\u1ee3ng m\u00e1u gi\u1ea3m ho\u1eb7c kh\u00f4ng c\u00f3. \u0110i\u1ec1u n\u00e0y g\u00e2y ra \u0111au, s\u01b0ng v\u00e0 c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng cho c\u00e1c m\u00f4 xung quanh.<\/p>\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\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\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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H\u1eb9p l\u1ed7 r\u00f2 \u0111\u1ed9ng t\u0129nh m\u1ea1ch<\/strong> \u0111\u1ec1 c\u1eadp \u0111\u1ebfn s\u1ef1 thu h\u1eb9p c\u1ee7a c\u00e1c m\u1ea1ch m\u00e1u t\u1ea1o n\u00ean AVF. \u0110i\u1ec1u n\u00e0y h\u1ea1n ch\u1ebf l\u01b0u l\u01b0\u1ee3ng m\u00e1u, 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.<\/p>\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\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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S\u1ef1 nhi\u1ec5m tr\u00f9ng<\/strong> c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n, g\u00e2y \u0111\u1ecf, s\u01b0ng, \u0111au v\u00e0 s\u1ed1t. 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.<\/p>\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\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\"Aneurysm\"\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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Ch\u1ee9ng ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch<\/strong><\/a> ho\u1eb7c s\u01b0ng t\u1ea5y \u1edf th\u00e0nh m\u1ea1ch m\u00e1u. N\u1ebfu ch\u1ee9ng ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ph\u00e1t tri\u1ec3n trong AVF, n\u00f3 c\u00f3 th\u1ec3 v\u1ee1 v\u00e0 g\u00e2y ch\u1ea3y m\u00e1u \u0111\u00e1ng k\u1ec3.<\/p>\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\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\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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Tr\u01b0\u1edfng th\u00e0nh k\u00e9m<\/strong> c\u00f3 ngh\u0129a l\u00e0 AVF kh\u00f4ng ph\u00e1t tri\u1ec3n th\u00e0nh \u0111i\u1ec3m truy c\u1eadp c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng \u0111\u1ec3 l\u1ecdc m\u00e1u do l\u01b0u l\u01b0\u1ee3ng m\u00e1u kh\u00f4ng \u0111\u1ee7 ho\u1eb7c c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c. Vi\u1ec7c gi\u1ea3i c\u1ee9u c\u00f3 th\u1ec3 bao g\u1ed3m c\u00e1c can thi\u1ec7p ph\u1eabu thu\u1eadt \u0111\u1ec3 c\u1ea3i thi\u1ec7n s\u1ef1 tr\u01b0\u1edfng th\u00e0nh c\u1ee7a AVF ho\u1eb7c t\u1ea1o m\u1ed9t \u0111i\u1ec3m ti\u1ebfp c\u1eadn m\u1edbi.<\/p>\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\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Trong t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u00e0y, c\u00e1c 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 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.<\/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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Quy tr\u00ecnh nong m\u1ea1ch v\u00e0nh AVF ho\u1ea1t \u0111\u1ed9ng nh\u01b0 th\u1ebf n\u00e0o<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Vi\u1ec7c gi\u1ea3i c\u1ee9u AVF h\u1eb9p ho\u1eb7c h\u1eb9p bao g\u1ed3m th\u1ee7 thu\u1eadt nong m\u1ea1ch v\u00e0nh. Ph\u1eabu thu\u1eadt x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u n\u00e0y s\u1ebd m\u1edf r\u1ed9ng m\u1ea1ch m\u00e1u b\u1ecb thu h\u1eb9p v\u00e0 duy tr\u00ec l\u01b0u l\u01b0\u1ee3ng m\u00e1u th\u00edch h\u1ee3p. Sau khi nong m\u1ea1ch v\u00e0nh, l\u01b0u l\u01b0\u1ee3ng m\u00e1u qua AVF s\u1ebd \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n, kh\u00f4i ph\u1ee5c kh\u1ea3 n\u0103ng l\u1ecdc m\u00e1u.<\/p>

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>

B\u01b0\u1edbc 1 Ch\u1ea9n \u0111o\u00e1n<\/h3>

B\u00e1c s\u0129 Tang v\u00e0 b\u00e1c s\u0129 Wong x\u00e1c nh\u1eadn s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a ch\u1ee9ng h\u1eb9p trong AVF 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.<\/p>

B\u01b0\u1edbc 2 Chu\u1ea9n b\u1ecb v\u00e0 truy c\u1eadp<\/h3>

Preparation for the procedure involves local anaesthesia or conscious sedation. Afterwards, our vascular surgeons make a small incision near the AVF to gain access to the blood vessel.<\/p>

Step 3 Guidewire and Balloon Catheter Insertion<\/h3>

C\u00e1c chuy\u00ean gia c\u1ee7a ch\u00fang t\u00f4i ch\u00e8n m\u1ed9t d\u00e2y d\u1eabn v\u00e0o m\u1ea1ch m\u00e1u b\u1ecb thu h\u1eb9p \u0111\u1ec3 \u0111i\u1ec1u h\u01b0\u1edbng m\u1ea1ch. Sau \u0111\u00f3, lu\u1ed3n m\u1ed9t \u1ed1ng th\u00f4ng c\u00f3 b\u00f3ng x\u00ec h\u01a1i \u1edf \u0111\u1ea7u qua d\u00e2y d\u1eabn \u0111\u1ec3 \u0111\u1eb7t n\u00f3 v\u00e0o ph\u1ea7n h\u1ea1n ch\u1ebf c\u1ee7a AVF.<\/p>

B\u01b0\u1edbc 4 L\u1ea1m ph\u00e1t bong b\u00f3ng v\u00e0 gi\u1ea3m ph\u00e1t<\/h3>

C\u00e1c b\u00e1c s\u0129 c\u1ee7a ch\u00fang t\u00f4i th\u1ed5i ph\u1ed3ng qu\u1ea3 b\u00f3ng \u0111\u1ec3 n\u00e9n m\u1ea3ng b\u00e1m ho\u1eb7c m\u00f4 h\u1eb9p v\u00e0o th\u00e0nh m\u1ea1ch v\u00e0 m\u1edf r\u1ed9ng m\u1ea1ch m\u00e1u. Sau v\u00e0i gi\u00e2y, h\u1ecd x\u00ec h\u01a1i qu\u1ea3 b\u00f3ng v\u00e0 l\u1ea5y n\u00f3 ra kh\u1ecfi AVF.<\/p>

B\u01b0\u1edbc 5 \u0110\u00e1nh gi\u00e1<\/h3>

C\u00e1c chuy\u00ean gia chuy\u00ean nghi\u1ec7p c\u1ee7a ch\u00fang t\u00f4i 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 c\u00f4ng ngh\u1ec7 h\u00ecnh \u1ea3nh. 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 ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nh\u01b0 \u0111\u1eb7t \u1ed1ng \u0111\u1ee1 \u0111\u1ed9ng m\u1ea1ch.<\/p>

Th\u1ec9nh tho\u1ea3ng, h\u1ecd c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng m\u1ed9t \u1ed1ng l\u01b0\u1edbi kim lo\u1ea1i nh\u1ecf g\u1ecdi l\u00e0 \u1ed1ng \u0111\u1ee1 \u0111\u1ed9ng m\u1ea1ch \u0111\u1ec3 gi\u1eef cho m\u1ea1ch m\u00e1u th\u00f4ng sau khi nong m\u1ea1ch v\u00e0nh. 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>

B\u01b0\u1edbc 6 H\u01b0\u1edbng d\u1eabn \u0111\u00f3ng c\u1eeda v\u00e0 sau th\u1ee7 thu\u1eadt<\/h3>

C\u00e1c chuy\u00ean gia v\u1ec1 m\u1ea1ch m\u00e1u c\u1ee7a ch\u00fang t\u00f4i \u0111\u00f3ng v\u1ebft m\u1ed5 v\u00e0 b\u0103ng l\u1ea1i b\u1eb1ng b\u0103ng v\u00f4 tr\u00f9ng b\u1eb1ng ch\u1ec9 kh\u00e2u ho\u1eb7c d\u1ea3i d\u00ednh. H\u1ecd s\u1ebd theo d\u00f5i b\u1ec7nh nh\u00e2n \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng. Ngo\u00e0i ra, h\u1ecd s\u1ebd cung c\u1ea5p h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c l\u1ed7 r\u00f2 \u0111\u1ed9ng t\u0129nh m\u1ea1ch v\u00e0 sau th\u1ee7 thu\u1eadt \u0111\u1ec3 duy tr\u00ec kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn l\u1ecdc m\u00e1u. \u0110i\u1ec1u n\u00e0y 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 g\u1eafng s\u1ee9c 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>

C\u00e1c b\u00e1c s\u0129 ph\u1eabu thu\u1eadt m\u1ea1ch m\u00e1u chuy\u00ean nghi\u1ec7p v\u00e0 t\u1eadn t\u00e2m c\u1ee7a ch\u00fang t\u00f4i nh\u1eadn th\u1ea5y t\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c ti\u1ebfp c\u1eadn ph\u01b0\u01a1ng ph\u00e1p l\u1ecdc m\u00e1u \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n \u0111ang \u0111i\u1ec1u tr\u1ecb. Do \u0111\u00f3, h\u1ecd cung c\u1ea5p t\u01b0 v\u1ea5n chi ti\u1ebft \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u1ee9c n\u0103ng AVF v\u00e0 \u0111\u01b0a ra k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p \u0111\u1ec3 kh\u00f4i ph\u1ee5c l\u01b0u l\u01b0\u1ee3ng m\u00e1u n\u1ebfu AVF c\u1ee7a b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c c\u1ea5p c\u1ee9u.<\/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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T\u00ecm ki\u1ebfm d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c ti\u1ebfp c\u1eadn l\u1ecdc m\u00e1u ngay h\u00f4m nay<\/span><\/span><\/a><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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5 \u01afu \u0111i\u1ec3m c\u1ee7a vi\u1ec7c c\u1ea5p c\u1ee9u AVF s\u1edbm \u0111\u1ec3 l\u1ecdc m\u00e1u t\u1ed1i \u01b0u<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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  1. \u0110\u1ea3m b\u1ea3o truy c\u1eadp kh\u00f4ng b\u1ecb gi\u00e1n \u0111o\u1ea1n<\/b> \u0111\u1ec3 l\u1ecdc m\u00e1u hi\u1ec7u qu\u1ea3, cung c\u1ea5p c\u00e1c \u0111i\u1ec3m truy c\u1eadp \u0111\u1ec3 lo\u1ea1i b\u1ecf v\u00e0 tr\u1ea3 l\u1ea1i m\u00e1u.\u00a0<\/span><\/li>
  2. T\u1ed1i \u01b0u h\u00f3a hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb<\/b>. C\u1ea5p c\u1ee9u AVF s\u1edbm gi\u00fap tr\u00e1nh c\u00e1c \u0111\u1ee3t l\u1ecdc m\u00e1u k\u00e9o d\u00e0i ho\u1eb7c lo\u1ea1i b\u1ecf ch\u1ea5t th\u1ea3i kh\u00f4ng \u0111\u1ee7 do bi\u1ebfn ch\u1ee9ng.\u00a0<\/span><\/li>
  3. Gi\u1ea3m thi\u1ec3u s\u1ef1 kh\u00f3 ch\u1ecbu c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng<\/b>, ch\u1eb3ng h\u1ea1n nh\u01b0 s\u01b0ng, b\u1ea7m t\u00edm ho\u1eb7c nhi\u1ec5m tr\u00f9ng t\u1ea1i v\u1ecb tr\u00ed ti\u1ebfp c\u1eadn.<\/span><\/li>
  4. Chi ph\u00ed ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe th\u1ea5p.<\/b> B\u1ec7nh nh\u00e2n ng\u0103n ng\u1eeba \u0111\u01b0\u1ee3c c\u00e1c can thi\u1ec7p y t\u1ebf ph\u1ee9c t\u1ea1p, bao g\u1ed3m nhu c\u1ea7u th\u1ef1c hi\u1ec7n c\u00e1c th\u1ee7 t\u1ee5c b\u1ed5 sung ho\u1eb7c th\u1eddi gian n\u1eb1m vi\u1ec7n k\u00e9o d\u00e0i, khi b\u00e1c s\u0129 chuy\u00ean khoa m\u1ea1ch m\u00e1u gi\u1ea3i quy\u1ebft s\u1edbm c\u00e1c bi\u1ebfn ch\u1ee9ng AVF.<\/span><\/li>
  5. N\u00e2ng cao s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n<\/b>. Gi\u1ea3i c\u1ee9u AVF k\u1ecbp th\u1eddi \u0111\u1ea3m b\u1ea3o b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb l\u1ecdc m\u00e1u ph\u00f9 h\u1ee3p v\u00e0 hi\u1ec7u qu\u1ea3.<\/span><\/li><\/ol>\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\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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    Ch\u0103m s\u00f3c ti\u1ebfp c\u1eadn th\u1ea9m ph\u00e2n t\u1eadn t\u00e2m v\u00e0 t\u1eadn t\u1ee5y t\u1ea1i Ph\u00f2ng kh\u00e1m m\u1ea1ch m\u00e1u v\u00e0 n\u1ed9i m\u1ea1ch<\/h2>\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\t\t\t\t\t\t\t\"Compassionate\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
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    C\u00e1c chuy\u00ean gia m\u1ea1ch m\u00e1u t\u1eadn t\u00e2m c\u1ee7a ch\u00fang t\u00f4i, Ti\u1ebfn s\u0129 Tang v\u00e0 Ti\u1ebfn s\u0129 Wong, hi\u1ec3u \u0111\u01b0\u1ee3c vai tr\u00f2 quan tr\u1ecdng c\u1ee7a kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn l\u1ecdc m\u00e1u t\u1ed1i \u01b0u \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111ang chi\u1ebfn \u0111\u1ea5u v\u1edbi ch\u1ee9ng r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1eadn. Do \u0111\u00f3, h\u1ecd cung c\u1ea5p c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p c\u1ea5p c\u1ee9u AVF s\u1edbm, bao g\u1ed3m c\u00e1c th\u1ee7 thu\u1eadt nong m\u1ea1ch, \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o kh\u1ea3 n\u0103ng l\u1ecdc m\u00e1u li\u00ean t\u1ee5c v\u00e0 c\u1ea3i thi\u1ec7n hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb.<\/p>

    V\u1edbi c\u00e1c k\u1ef9 thu\u1eadt d\u1ef1a tr\u00ean b\u1eb1ng ch\u1ee9ng v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn nh\u00e2n \u00e1i, l\u1ea5y b\u1ec7nh nh\u00e2n l\u00e0m trung t\u00e2m, ch\u00fang t\u00f4i gi\u1ea3i quy\u1ebft c\u00e1c bi\u1ebfn ch\u1ee9ng k\u1ecbp th\u1eddi, gi\u1ea3m thi\u1ec3u s\u1ef1 kh\u00f3 ch\u1ecbu v\u00e0 n\u00e2ng cao s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>

    Cam k\u1ebft c\u1ee7a ch\u00fang t\u00f4i l\u00e0 s\u1ee9c kh\u1ecfe v\u00e0 s\u1ef1 tho\u1ea3i m\u00e1i c\u1ee7a b\u1ea1n. <\/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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    T\u00ecm ki\u1ebfm d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c ti\u1ebfp c\u1eadn l\u1ecdc m\u00e1u ngay 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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    \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 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":"

    \u0110\u01b0\u1eddng ti\u1ebfp c\u1eadn th\u1ea9m ph\u00e2n t\u1ed1i \u01b0u l\u00e0 \u0111\u01b0\u1eddng s\u1ed1ng cho b\u1ec7nh nh\u00e2n th\u1ea9m ph\u00e2n. Quy tr\u00ecnh quan tr\u1ecdng n\u00e0y l\u1ecdc ch\u1ea5t th\u1ea3i v\u00e0 d\u1ecbch d\u01b0 th\u1eeba ra kh\u1ecfi m\u00e1u, m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb thi\u1ebft y\u1ebfu cho ch\u1ee9ng suy th\u1eadn. Hi\u1ec7u qu\u1ea3 c\u1ee7a quy tr\u00ecnh n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn v\u00e0 ch\u1ee9c n\u0103ng c\u1ee7a c\u00e1c l\u1ed7 r\u00f2 \u0111\u1ed9ng m\u1ea1ch t\u0129nh m\u1ea1ch (AVF) \u2013 c\u00e1c k\u1ebft n\u1ed1i \u0111\u01b0\u1ee3c t\u1ea1o ra b\u1eb1ng ph\u1eabu thu\u1eadt gi\u1eefa \u0111\u1ed9ng m\u1ea1ch v\u00e0 t\u0129nh m\u1ea1ch \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho qu\u00e1 tr\u00ecnh th\u1ea9m ph\u00e2n\u2026.<\/p>","protected":false},"author":1,"featured_media":9966,"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-9959","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-doctors-column"],"acf":[],"yoast_head":"\nDialysis Access: Explore Angioplasty Procedure for AVF Rescue<\/title>\n<meta name=\"description\" content=\"Keyhole angioplasty procedure widens narrowed blood vessels and improves the function of dialysis access when complications arise.\" \/>\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\/dialysis-access-explore-angioplasty-procedure-for-avf-rescue\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dialysis Access: Explore Angioplasty Procedure for AVF Rescue\" \/>\n<meta property=\"og:description\" content=\"Keyhole angioplasty procedure widens narrowed blood vessels and improves the function of dialysis access when complications arise.\" \/>\n<meta property=\"og:url\" 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