Department of Surgery, University of South Carolina School of Medicine, Greenville Hospital System, Greenville, SC 29605, USA.
Semin Vasc Surg. 2011 Jun;24(2):102-7. doi: 10.1053/j.semvascsurg.2011.05.002.
Given the current survival rates of patients receiving hemodialysis, it has become increasingly common for patients to exhaust their upper extremity access options. Likewise, overzealous catheter use can lead to central venous occlusion or stenosis, further limiting the upper extremity access options. In these patients, use of the lower extremities for access is often required. Fortunately, there are a number of options available that have acceptable durability and utility. The purpose of this article is to review the various techniques available for placement of hemodialysis access in the lower extremity and discuss their results.
鉴于接受血液透析的患者目前的存活率，他们用尽上肢血管通路选择的情况变得越来越常见。同样，过于积极地使用导管会导致中心静脉阻塞或狭窄，进一步限制上肢血管通路的选择。在这些患者中，通常需要使用下肢进行血管通路建立。幸运的是，有许多可接受的耐用性和实用性的选择。本文的目的是回顾可用于下肢血液透析通路放置的各种技术，并讨论它们的结果。
