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预测透析血管通路血流量和直径:太多、太少,还是刚刚好。

Predicting dialysis vascular access blood flow and diameter: too much, too little, or just right.

机构信息

1] Dialysis Vascular Access Research Group, Division of Nephrology, University of Cincinnati, Cincinnati, Ohio, USA [2] Cincinnati Veterans Affairs Medical Center, Cincinnati, Ohio, USA.

出版信息

Kidney Int. 2013 Dec;84(6):1076-8. doi: 10.1038/ki.2013.307.

DOI:10.1038/ki.2013.307
PMID:24280751
Abstract

Arteriovenous fistula (AVF) maturation continues to cause significant morbidity and mortality. Despite the magnitude of the clinical problem, however, there are no effective clinical or biological predictors of AVF success or failure. Caroli et al. describe an innovative technology that may be successful in predicting AVF flow and diameter using standard-of-care preoperative inputs. Pending additional longer-term validation, the use of this technology could help us get the right access into the right patient at the right time.

摘要

动静脉瘘(AVF)成熟仍然会导致严重的发病率和死亡率。然而,尽管这是一个严重的临床问题,但目前还没有有效的临床或生物学指标来预测 AVF 的成功或失败。Caroli 等人描述了一种创新技术,该技术可能成功地使用标准的术前输入来预测 AVF 的流量和直径。在等待更多的长期验证的同时,这项技术的使用可以帮助我们在正确的时间将正确的通路放入正确的患者体内。

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引用本文的文献

1
Clinical use of computational modeling for surgical planning of arteriovenous fistula for hemodialysis.计算建模在血液透析动静脉内瘘手术规划中的临床应用。
BMC Med Inform Decis Mak. 2017 Mar 14;17(1):26. doi: 10.1186/s12911-017-0420-x.
2
The importance of success prediction in angioaccess surgery.血管通路手术中成功预测的重要性。
Int Urol Nephrol. 2016 Sep;48(9):1469-75. doi: 10.1007/s11255-016-1318-8. Epub 2016 May 18.
3
Current tools for prediction of arteriovenous fistula outcomes.当前预测动静脉内瘘结局的工具。
Clin Kidney J. 2015 Jun;8(3):282-9. doi: 10.1093/ckj/sfv019. Epub 2015 Apr 2.