Yu Hongyan, Huang Baoxian, Yau Joachim Wen Kien, Chandrasekar Sadhana, Tan Glenn Wei Leong, Lo Zhiwen Joseph
Vascular Surgery Service, Department of General Surgery, Tan Tock Seng Hospital, Singapore.
Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Ann Vasc Dis. 2018 Sep 25;11(3):318-323. doi: 10.3400/avd.oa.18-00041.
: To compare patency rates between one- and two-stage (first-stage arteriovenous anastomosis followed by second-stage superficialization) creation of brachial-basilic transposition arteriovenous fistula (BBT-AVF) in an Asian population. : A retrospective review of BBT-AVFs was conducted between July 2008 and March 2015. Kaplan-Meier survival analysis and log-rank test were used to evaluate patency. : In total, 103 BBT-AVFs were created in 86 patients (mean age, 61 years; men, 57%). The overall primary, assisted primary, and secondary patency rates at 12, 24, 36, and 48 months were 70%, 48%, 38%, and 35%; 86%, 70%, 62%, and 59%; and 90%, 77%, 70%, and 63%, respectively. There was no significant difference in demographics and preoperative vessel caliber between the groups. The primary failure rate was 24% in the one-stage group, compared with 21% in the two-stage group (p=0.803). There were no statistically significant differences in primary, assisted primary, and secondary patency rates between the groups. : There was no significant difference in primary failure and patency rates between the two groups. Both one-stage and two-stage procedures conferred good outcomes with overall 12-month primary patency, secondary patency, and primary failure rates of 70%, 90%, and 23%, respectively.
比较亚洲人群中一期和二期（一期动静脉吻合，随后二期行表浅化）建立肱动脉-贵要静脉转位动静脉内瘘（BBT-AVF）的通畅率。：对2008年7月至2015年3月期间建立的BBT-AVF进行回顾性研究。采用Kaplan-Meier生存分析和对数秩检验评估通畅率。：共86例患者建立了103个BBT-AVF（平均年龄61岁；男性占57%）。12、24、36和48个月时的总体初级通畅率、辅助初级通畅率和次级通畅率分别为70%、48%、38%和35%；86%、70%、62%和59%；以及90%、77%、70%和63%。两组在人口统计学和术前血管管径方面无显著差异。一期组的初级失败率为24%，二期组为21%（p=0.803）。两组在初级通畅率、辅助初级通畅率和次级通畅率方面无统计学显著差异。：两组在初级失败率和通畅率方面无显著差异。一期和二期手术均取得了良好的效果，总体12个月的初级通畅率、次级通畅率和初级失败率分别为70%、90%和23%。
