Nguyen Vo D, Griffith Chris N
Memorial Nephrology Associates, Olympia, Washington - USA.
Surgical Associates, Olympia, Washington - USA.
J Vasc Access. 2017 Mar 21;18(2):e11-e14. doi: 10.5301/jva.5000602.
Multidisciplinary team work is important for a successful hemodialysis vascular access program. The authors present a clinical case to illustrate the potential dynamic factors that can affect vein sizes, independent from the operators' skills and experiences. Therefore, if the first examination fails to detect suitable veins, repeated examinations of arm veins by nephrologists during routine office visits may greatly assist the surgeons in the selection of suitable arm veins for arteriovenous fistula surgery.
多学科团队合作对于成功开展血液透析血管通路项目至关重要。作者呈现了一个临床病例，以说明可能影响静脉大小的潜在动态因素，这些因素与操作者的技能和经验无关。因此，如果首次检查未能检测到合适的静脉，肾病科医生在常规门诊期间对臂静脉进行反复检查，可能会极大地帮助外科医生选择适合动静脉内瘘手术的臂静脉。
