Sousa Clemente Neves, Norton de Matos António, Rocha Ana, Almeida Paulo, Xavier Eva
Centro de Hemodiálise da Ordem S. Francisco, Porto, Portugal.
Escola Superior Enfermagem Porto (Nursing College Porto), Porto, Portugal.
Hemodial Int. 2016 Apr;20(2):E15-7. doi: 10.1111/hdi.12310. Epub 2015 May 7.
Vascular access is essential for the implementation of hemodialysis (HD). The arteriovenous fistula (AVF) can be constructed in various locations using various veins. However, the quality of the veins will influence the construction site, as well as the functioning of the AVF. Careful analysis of the vascular network allows options for the development of new fistulas presentations. We present and discuss the case of a woman aged 69 years in HD in which a brachial-cephalic fistula with drainage to basilic vein was created, through rotation of the cephalic vein on the forearm level. This kind of access serves to prolong the time spent dialyzing through native fistulae, with their reduced complications and greater cost-effectiveness.
血管通路对于血液透析（HD）的实施至关重要。动静脉内瘘（AVF）可以使用不同的静脉在不同部位构建。然而，静脉的质量会影响内瘘的构建部位以及其功能。对血管网络进行仔细分析可为开发新的内瘘术式提供选择。我们展示并讨论了一位69岁接受血液透析的女性病例，通过在前臂水平旋转头静脉，创建了一条引流至贵要静脉的肱-头臂内瘘。这种血管通路有助于延长通过自体动静脉内瘘进行透析的时间，并发症减少且成本效益更高。
