Ringdén O, Fagrell B, Friman L, Lundgren G
Scand J Urol Nephrol. 1976;10(1):73-9. doi: 10.3109/00365597609179659.
Ninety-four subcutaneous arterio-venous fistulas were created for haemodialysis in 83 patients. Seventy-one patients eventually received well-functioning fistulas. The most common complication was thrombosis at the suture line. Thus, 8 primary fistulas clotted within 24 hours of surgery and 5 clotted later. Eleven patients were reoperated with a successful result in six. One patient developed arterial insufficiency in the hand with finger ulcerations, probably due to a radial steal syndrome. Four patients got extremely swollen hands and threatening gangraena because of thrombosis of the vein proximally to the anastomosis. Vital capillary microscopy in the patients with vascular insufficiency demonstrated profound changes of the nutritional capillaries which were not seen in control patients with well-functioning fistulas. After closure of the fistulas the edema disappeared and the ulcerations healed rapidly.
为83例患者制作了94个用于血液透析的皮下动静脉内瘘。71例患者最终获得了功能良好的内瘘。最常见的并发症是缝合线处血栓形成。因此，8个初次内瘘在术后24小时内发生血栓形成，5个随后发生血栓形成。11例患者接受了再次手术，6例手术成功。1例患者手部出现动脉供血不足并伴有手指溃疡，可能是由于桡动脉窃血综合征所致。4例患者因吻合口近端静脉血栓形成导致手部极度肿胀并濒临坏疽。血管功能不全患者的活体毛细血管显微镜检查显示营养性毛细血管有显著变化，而功能良好的内瘘对照患者未见此类变化。内瘘关闭后，水肿消失，溃疡迅速愈合。
