Nazzal M M, Neglen P, Naseem J, Christenson J T, al-Hassan H K
Department of Surgery, Mubarak Al-Kabeer Hospital, Kuwait.
Vasa. 1990;19(4):326-9.
In the period from January 1988 to July 1989, 185 arteriovenous conduits for hemodialysis were created in 150 patients with end stage renal disease including 20 procedures (13 patients) performed as emergency external shunts. Of the remaining patients 125/137 (139 procedures) could be followed. The procedures included 85 end-to-side radiocephalic wrist fistulas, 42 end-to-side brachiocephalic elbow fistulas and 12 brachioaxillary grafts. Complications associated with brachiocephalic fistulas were not significantly higher than with radiocephalic fistulas, except for the development of arterial steal and pseudoaneurysm formation. The 12-month patency rates were 72% and 75% in radiocephalic and brachiocephalic fistulas respectively. The end-to-side brachiocephalic fistula is a successful secondary vascular access procedure and is recommended when a primary radiocephalic fistula fails.
在1988年1月至1989年7月期间，为150例终末期肾病患者建立了185条用于血液透析的动静脉通道，其中包括作为紧急外分流术进行的20例手术（13例患者）。其余患者中，125/137例（139例手术）能够得到随访。这些手术包括85例端侧桡动脉-头静脉腕部内瘘、42例端侧肱动脉-头静脉肘部内瘘和12例肱动脉-腋动脉移植物。除了动脉窃血和假性动脉瘤形成外，肱动脉-头静脉内瘘相关并发症并不显著高于桡动脉-头静脉内瘘。桡动脉-头静脉内瘘和肱动脉-头静脉内瘘的12个月通畅率分别为72%和75%。端侧肱动脉-头静脉内瘘是一种成功的二级血管通路手术，当原发性桡动脉-头静脉内瘘失败时推荐使用。
