Ondrus P, Soltýsová E, Svetík M
Chirurgické oddelenie, KUNZ, Banská Bystrica.
Cesk Pediatr. 1991 Jan;46(1):13-4.
The authors give an account of their experience with an artificial arteriovenous fistula of the needs of chronic haemodialysis. During a five-year period they established an A-V fistula with prolonged satisfactory function in seven children aged 5-14 years. In none of the patients the fistula, made as suggested by Cimin and Bresciu on the wrist of the non-dominant extremity, failed. Development and arterialization of the venous drainage system on the fore arm occurred 6-8 weeks after establishment of the fistula. Despite miniature dimensions of the artery and vein a functioning radiocephalic fistula in children with chronic renal insufficiency is a suitable method to overcome the period before transplantation of the kidney.
作者介绍了他们为满足慢性血液透析需求而建立人工动静脉内瘘的经验。在五年期间，他们为7名5至14岁的儿童建立了功能长期良好的动静脉内瘘。按照西米恩和布雷西乌建议在非优势肢体手腕处制作的内瘘，在所有患者中均未失败。内瘘建立6至8周后，前臂静脉引流系统出现发育和动脉化。尽管动脉和静脉尺寸较小，但对于慢性肾功能不全儿童而言，建立起功能良好的桡动脉头静脉内瘘是克服肾移植前阶段的一种合适方法。
