Morgan A, Lazarus M
Am J Surg. 1975 Apr;129(4):432-9. doi: 10.1016/0002-9610(75)90189-0.
Over a five year period, 114 patients had one or more secondary operations for access to the circulation for hemodialysis, these being a Thomas femoral shunt, saphenous vein graft, or Sparks mandril graft. The patient group was different from the general dialysis population, containing more females, more patients with diabetes, and more patients with collagen-vascular disease. Comparing duration of utility by the life table method for each technic, the femoral shunt lasted longest but with a high incidence of septic complications, the mandril graft was intermediate, and the saphenous vein graft least durable in use. The mandril is considered a tentative first choice for secondary access when the required maturation time is available.
在五年期间，114名患者接受了一次或多次用于建立血液透析循环通路的二次手术，这些手术包括托马斯股动静脉分流术、大隐静脉移植术或斯帕克斯心轴移植术。该患者群体与一般透析人群不同，女性更多，糖尿病患者更多，胶原血管病患者更多。通过寿命表法比较每种技术的使用期限，股动静脉分流术持续时间最长，但败血症并发症发生率高，心轴移植术居中，大隐静脉移植术使用耐久性最差。当有足够的成熟时间时，心轴移植术被认为是二次通路的初步首选。
