Krönung G, Horch R
Department of Surgery, Medical Faculty, University of Bonn, West Germany.
Nihon Geka Hokan. 1990 Mar 1;59(2):134-40.
Suitable veins of great diameter should not be the limitation for the use of E-PTFE prosthesis as a vascular access of second choice for chronic hemodialysis. A sufficient venous drainage has to be attempted inspite of possibly generally bad state of veins regarding the need for retrograde use of vessels. This can be achieved in such cases by careful vascular surgical technique performing multiple-anastomosis or establishing multiple-drainage. By the application of these rules vessels that would otherwise remain unused can be utilized for vascular access in chronic hemodialysis patients. Thus even few months of function after these procedures can be regarded as a success.
对于使用E-PTFE假体作为慢性血液透析的第二选择血管通路而言，大直径的合适静脉不应成为限制因素。尽管就血管逆行使用的需求而言，静脉状况可能普遍较差，但仍必须尝试实现足够的静脉引流。在这种情况下，可通过采用精细的血管外科技术进行多处吻合或建立多处引流来实现。通过应用这些规则，原本可能未被使用的血管可用于慢性血液透析患者的血管通路。因此，这些手术后即使只有几个月的功能也可视为成功。
