Yan Yan, Su Xiaoxia, Zheng Jie, Zhang Li, Yang Liu, Jiang Qing, Chen Qinkai
Department of Nephrology, First Affiliated Hospital of Nanchang University, Nanchang, China.
Department of Hemodialysis, Jiangxi Huimin Hospital, Nanchang, China.
Ther Apher Dial. 2018 Oct;22(5):539-543. doi: 10.1111/1744-9987.12670. Epub 2018 Jun 20.
This retrospective study included 1051 patients with end-stage kidney disease and Brescia-Cimino arteriovenous fistula (AVF) (excluding pre-dialysis patients), and aimed to investigate the role of blood pressure in AVF primary failure. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured twice daily for 3 days before surgery. The success (N = 1010) and failure (N = 41) groups were based on AVF primary failure within 7 days of surgery. The cephalic vein was larger and the preoperative mean arterial pressure (MAP) was higher in the success group compared with the failure group (P < 0.05). Cephalic vein diameter and preoperative MAP independently predicted AVF primary failure within 7 days after surgery. In conclusion, small cephalic vein diameter and low preoperative MAP were associated with AVF primary failure within 7 days of surgery.
这项回顾性研究纳入了1051例终末期肾病且患有布雷西亚-西米诺动静脉内瘘（AVF）的患者（不包括透析前患者），旨在研究血压在AVF原发性失败中的作用。术前3天每天测量两次收缩压（SBP）和舒张压（DBP）。成功组（N = 1010）和失败组（N = 41）基于术后7天内AVF原发性失败情况划分。与失败组相比，成功组的头静脉更大且术前平均动脉压（MAP）更高（P < 0.05）。头静脉直径和术前MAP可独立预测术后7天内的AVF原发性失败。总之，头静脉直径小和术前MAP低与术后7天内的AVF原发性失败相关。
