Beathard Gerald A
Lifeline Vascular Access, USA.
Adv Chronic Kidney Dis. 2009 Sep;16(5):339-51. doi: 10.1053/j.ackd.2009.06.001.
Fistulas are considered superior to synthetic grafts as a hemodialysis vascular access; however, fistulas are not without problems. To maximize the number of fistulas being used in prevalent patients, it is important to have a program designed to salvage early failures or fistulas that fail to mature and those that become dysfunctional during the course of usage. Endovascular techniques have proven to be very effective in the management of both of these problems. These fistulas should be aggressively evaluated and treated because treatment carries with it a high expectation of successful salvage of what would have otherwise been an abandoned access.
作为血液透析血管通路，瘘管被认为优于人工血管移植物；然而，瘘管并非没有问题。为了使现存患者使用的瘘管数量最大化，制定一个旨在挽救早期失败的瘘管、未能成熟的瘘管以及在使用过程中出现功能障碍的瘘管的计划非常重要。血管内技术已被证明在处理这两个问题方面非常有效。这些瘘管应积极评估和治疗，因为治疗有望成功挽救原本会被废弃的通路。
