Tampa General Hospital, 409 Bayshore Blvd., Tampa, FL 33606, USA.
University of South Florida, 4202 E Fowler Ave, Tampa, FL 33620, USA.
Am J Surg. 2018 Dec;216(6):1144-1147. doi: 10.1016/j.amjsurg.2018.08.004. Epub 2018 Aug 21.
The use of autologous arteriovenous fistulae (AVF) for hemodialysis (HD) is the gold standard; however, for many patients at tertiary referral centers, this is not an option.
We conducted a four year retrospective cohort study to evaluate HD access outcomes with AVF, bovine carotid artery (BCA), and polytetrafluoroethylene arteriovenous graft (PTFE).
The study contained 416 AVF, 175 BCA, and 58 PTFE, N = 649. There was statistical difference between rates of infection (AVF 3.4%, BCA 2.9%, PTFE 11.9%), P = 0.02. Maturation failed in 7.5% of AVF but in none of the BCA or PTFE (P = 0.001). Accesses were abandoned with AVF (1.9%), BCA (1.5%), and PTFE (9.5%), P = 0.01.
Bovine carotid artery can be an effective alternative form of HD access with lower infection, abandonment, and failure to maturation rates when autologous arteriovenous fistula is not an option.
自体动静脉瘘（AVF）用于血液透析（HD）是金标准；然而，对于许多三级转诊中心的患者来说，这并不是一种选择。
我们进行了一项为期四年的回顾性队列研究，以评估 AVF、牛颈动脉（BCA）和聚四氟乙烯动静脉移植物（PTFE）的 HD 通路结果。
该研究包含 416 例 AVF、175 例 BCA 和 58 例 PTFE，N=649。感染率（AVF 3.4%，BCA 2.9%，PTFE 11.9%）存在统计学差异，P=0.02。AVF 中 7.5%的通路成熟失败，但 BCA 和 PTFE 中均未发生（P=0.001）。AVF（1.9%）、BCA（1.5%）和 PTFE（9.5%）放弃了通路，P=0.01。
当自体动静脉瘘不是一种选择时，牛颈动脉可以作为一种有效的 HD 通路替代形式，具有较低的感染、废弃和不成熟率。
