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血液透析塑料套管——传统金属针的一种可能替代品?

Haemodialysis plastic cannulae - a possible alternative to traditional metal needles?

作者信息

Parisotto Maria Teresa, Pelliccia Francesco, Bedenbender-Stoll Eva, Gallieni Maurizio

机构信息

Fresenius Medical Care - Care Value Management, Bad Homburg - Germany.

Medical Writer, Friedberg - Germany.

出版信息

J Vasc Access. 2016 Sep 21;17(5):373-9. doi: 10.5301/jva.5000594. Epub 2016 Jul 21.

DOI:10.5301/jva.5000594
PMID:27443580
Abstract

BACKGROUND

Haemodialysis plastic cannulae for arteriovenous fistulae (AVF) have been used for many years in Japan and recently this technique was introduced in Australia.

OBJECTIVES

Find answers to the following questions:What are the pros and cons of plastic cannulae versus traditional metal needles for AVF and arteriovenous graft (AVG)? Is the use of plastic cannulae instead of traditional metal needles an option for European dialysis units as well? If it is an option, for which patients should plastic cannulae be used?

METHODS

Literature search via PubMed and Google.

RESULTS AND CONCLUSION

Due to the characteristics of plastic cannulae, they seem to be well suited for restless patients, patients with unpredictable behaviour, children, and patients who are allergic to metal.However, the evidence base provided by studies on the use of cannulae is currently weak. More controlled randomised studies are needed.

摘要

背景

用于动静脉内瘘(AVF)的血液透析塑料套管在日本已使用多年,最近该技术被引入澳大利亚。

目的

回答以下问题:对于AVF和动静脉移植物(AVG),塑料套管与传统金属针相比有哪些优缺点?欧洲透析单位是否也可以选择使用塑料套管代替传统金属针?如果是一种选择,哪些患者应该使用塑料套管?

方法

通过PubMed和谷歌进行文献检索。

结果与结论

由于塑料套管的特性,它们似乎非常适合躁动不安的患者、行为不可预测的患者、儿童以及对金属过敏的患者。然而,目前关于套管使用的研究提供的证据基础薄弱。需要更多对照随机研究。

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Kidney Res Clin Pract. 2023 Jan;42(1):117-126. doi: 10.23876/j.krcp.21.281. Epub 2022 Oct 25.
2
Direction- and Angle-Assisted Buttonhole Cannulation of Arteriovenous Fistula in Hemodialysis Patients: A Multicenter Randomized Controlled Trial.血液透析患者动静脉内瘘方向和角度辅助纽扣式穿刺置管:一项多中心随机对照试验
Kidney Med. 2021 Dec 1;4(2):100393. doi: 10.1016/j.xkme.2021.10.006. eCollection 2022 Feb.
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Expert consensus on the establishment and maintenance of native arteriovenous fistula.
自体动静脉内瘘建立与维护的专家共识
Chronic Dis Transl Med. 2021 Jun 16;7(4):235-253. doi: 10.1016/j.cdtm.2021.05.002. eCollection 2021 Dec.