Manne Venu, Vaddi Surya Prakash, Reddy Vijaya Bhaskar, Dayapule Sridhar
Department of Urology and Renal Transplant, Narayana Medical College and Hospital, Nellore, Andhra Pradesh, India.
Saudi J Kidney Dis Transpl. 2017 Mar-Apr;28(2):313-317. doi: 10.4103/1319-2442.202759.
Autologous arteriovenous fistula is gold standard to maintain vascular access for hemodialysis patients. As per the Kidney Disease Outcomes Quality Initiative guidelines, distal veins are preferred as the first choice. In this study, a total of 134 patients and 138 fistulas were evaluated from April 2015 to March 2016. Demographic factors and clinical factors were taken into consideration. Our study showed that age, sex, diabetes, and type of construction (end-to-side vs. side-to-side) had no influence over fistula patency rates. Intradialytic hypotension was one of the risk factors for loss of fistula patency. Smoking and history of hypertension were associated with reduced patency rates (P<0.001). Primary failure was more with distal fistulas (15.2%).
自体动静脉内瘘是维持血液透析患者血管通路的金标准。根据《肾脏病预后质量倡议》指南，首选远端静脉作为第一选择。在本研究中，对2015年4月至2016年3月期间的134例患者和138个内瘘进行了评估。考虑了人口统计学因素和临床因素。我们的研究表明，年龄、性别、糖尿病和构建类型（端侧吻合与侧侧吻合）对内瘘通畅率没有影响。透析中低血压是内瘘通畅性丧失的危险因素之一。吸烟和高血压病史与通畅率降低相关（P<0.001）。远端内瘘的原发性失败率更高（15.2%）。
