Garcia-Rinaldi R, Reed R L, Green Z D, Mattox K L
South Med J. 1975 Apr;68(4):455-8. doi: 10.1097/00007611-197504000-00016.
The arteriovenous fistula (AVF) is the choice made of access to the circulation in patients having chronic hemodialysis. AVFs are also used in patients having repeated courses of intravenous chemotherapy. This relatively simple operation can result in considerable morbidity if improperly done. The technics used in our center, which result in a high patency rate, are described. Maneuvers designed to reduce the resistance to flow and increase the minute flow through the fistulas are stressed.
动静脉内瘘(AVF)是慢性血液透析患者建立血管通路的首选方式。动静脉内瘘也用于接受重复静脉化疗疗程的患者。如果操作不当,这种相对简单的手术可能会导致相当高的发病率。本文描述了我们中心采用的技术,这些技术可实现较高的通畅率。重点介绍了旨在降低血流阻力并增加通过内瘘的每分钟血流量的操作方法。