DuBose Joseph J, Azizzadeh Ali
Department of Cardiothoracic and Vascular Surgery, Memorial Hermann Heart and Vascular Institute, University of Texas Medical School, Houston, TX.
Department of Cardiothoracic and Vascular Surgery, Memorial Hermann Heart and Vascular Institute, University of Texas Medical School, Houston, TX.
Ann Vasc Surg. 2015 Feb;29(2):366.e1-4. doi: 10.1016/j.avsg.2014.10.018. Epub 2014 Nov 24.
Salvage of failing autogenous arteriovenous fistula (AVF) access sites is a primary concern in dialysis access preservation and a key emphasis of the Kidney Disease Outcomes Quality Initiative. Aneurysmal degeneration of autogenenous fistulae represents a significant complication, associated with potential skin breakdown, rupture, infection, and access loss. The utilization of conduits derived from extracellular matrix (ECM), currently approved for cardiovascular repairs, may mitigate some of the risks associated with salvage using synthetic materials. We report the utilization of a tubularized CorMatrix(®) ECM graft as a novel conduit for repair of a brachiocephalic AVF aneurysm.
挽救功能逐渐丧失的自体动静脉内瘘（AVF）通路部位是透析通路维护中的首要关注点，也是《肾脏病预后质量倡议》的关键重点。自体动静脉内瘘的动脉瘤样变性是一种重大并发症，与潜在的皮肤破损、破裂、感染及通路丧失相关。目前已获批用于心血管修复的源自细胞外基质（ECM）的导管的使用，可能会减轻一些与使用合成材料进行挽救相关的风险。我们报告了使用管状CorMatrix® ECM移植物作为修复头臂动静脉内瘘动脉瘤的新型导管。
