Kestlerová M, Kocandrle V, Vrubel J
Czech Med. 1978;1(3):169-79.
The development of haemodialysis treatment and kidney transplantation has brought forth effective therapy and long-term survival in patients with irreversible renal failure. One of the factors limiting successful long-term treatment is the difficulty involved in the patients repeatedly on to the artificial kidney. Once all the routine techniques of creating subcutaneous arteriovenous have been exploited, the use of venous grafts provides further opportunities for vascular access for regular haemodialysis. Evaluation of the immediate results and of long-term average cumulative patency in 24 autologous and 24 stored allogeneic venous grafts revealed fewer complications and better long-term usability in venous allografts. Allogeneic venous grafts appear to offer a suitable replacement for venous autografts in the surgical technique of arteriovenous fistulas. Their advantages include easy availability, low cost, and long-term usability in chronic dialysis.
血液透析治疗和肾移植的发展为不可逆肾衰竭患者带来了有效的治疗方法和长期生存的可能。限制长期成功治疗的因素之一是患者反复使用人工肾存在困难。一旦所有建立皮下动静脉通路的常规技术都已用尽，静脉移植物的使用为定期血液透析提供了更多的血管通路机会。对24例自体静脉移植物和24例保存的同种异体静脉移植物的即时结果和长期平均累积通畅率进行评估后发现，同种异体静脉移植物的并发症更少，长期可用性更好。在动静脉内瘘的外科技术中，同种异体静脉移植物似乎是自体静脉移植物的合适替代品。它们的优点包括容易获得、成本低以及在慢性透析中具有长期可用性。
