Hedin Ulf, Welander Gunilla
Department of Vascular Surgery, Karolinska University Hospital and Karolinska Institutet, Stockholm - Sweden.
Department of Nephrology, Karlstad Hospital and the Swedish Renal Registry, Karlstad - Sweden.
J Vasc Access. 2017 Mar 6;18(Suppl. 1):110-113. doi: 10.5301/jva.5000679. Epub 2017 Mar 5.
To provide the contemporary use of upper-arm access for hemodialysis in Sweden using data from a unique national registry for hemodialysis access.
Data were retrieved from a nation-wide registry for dialysis access in Sweden, Dialysis Access Database (DiAD) on the use and function of specific access types with a focus on upper-arm accesses.
The data demonstrate an increased use of upper-arm access, likely dependent on a changing patient population, with brachiocephalic arteriovenous fistula (AVF) as the most common access type. Women received more upper-arm accesses than men. Given the recent establishment of the registry, patency and access function can at this point give preliminary data. Indications of a better function for brachiobasilic AVFs in staged procedures were observed as well as for upper-arm arteriovenous grafts (AVGs) in women.
Registry data support an increased use of upper-arm accesses, especially in women. The study also demonstrates the potential of a dedicated national access registry to improve access care.
利用一个独特的全国血液透析通路登记处的数据，介绍瑞典目前上臂通路在血液透析中的使用情况。
从瑞典全国性的透析通路登记处——透析通路数据库（DiAD）中检索数据，重点关注上臂通路，了解特定通路类型的使用情况和功能。
数据表明上臂通路的使用有所增加，这可能取决于患者群体的变化，头臂动静脉内瘘（AVF）是最常见的通路类型。女性接受上臂通路的比例高于男性。鉴于该登记处近期才建立，目前通畅率和通路功能只能提供初步数据。观察到分期手术中肱尺动静脉内瘘以及女性上臂动静脉移植物（AVG）功能较好的迹象。
登记处数据支持增加上臂通路的使用，尤其是在女性中。该研究还证明了专门的全国通路登记处对改善通路护理的潜力。
