Norton de Matos António, Sousa Clemente Neves, Almeida Paulo, Teles Paulo, Loureiro Luís, Teixeira Gabriela, Rego Duarte, Teixeira Sérgio
Vascular Access Center (Grupo Estudos Vasculares-GEV), Porto, Portugal.
Angiology and Vascular Surgery Departament, Centro Hospitalar do Porto, Portugal.
Hemodial Int. 2017 Oct;21(4):E63-E65. doi: 10.1111/hdi.12536. Epub 2017 Jan 10.
Dysfunction problems with vascular access are a concern to patients and dialysis units. The vascular surgeon should analyse such dysfunction and perform a careful assessment of the vascular network in order to find new fistula layouts. We introduce and discuss the case of creation of a radio-cephalic fistula with outflow into the forearm basilic vein through rotation of the forearm basilic vein toward the cephalic vein in the forearm of an 88-year-old hemodialysis male patient. This technique enables extending fistula patency and improves cost efficiency.
血管通路功能障碍问题是患者和透析单位所关注的。血管外科医生应分析此类功能障碍，并对血管网络进行仔细评估，以便找到新的造瘘布局。我们介绍并讨论了一例为一名88岁男性血液透析患者在前臂通过将前臂贵要静脉向头静脉旋转而建立头静脉-贵要静脉内瘘并使其流出道进入前臂贵要静脉的病例。该技术能够延长内瘘通畅时间并提高成本效益。
