Ye Ting-Ting, Zhang Lei, Shen Jian-Ming, Li Wen-Wen, He Dong, Shi Chun-Hua, Deng Yan-Yan
Clin Nephrol. 2019 Nov;92(5):233-236. doi: 10.5414/CN109880.
To compare the functions and complications of forearm basilic vein transposition-arteriovenous fistula (BVT-AVF) created using the no-touch technique with that of conventional radiocephalic arteriovenous fistula (RC-AVF).
The no-touch technique was used to created basilic vein transposition-radial artery fistula in 22 patients. Another 30 patients received surgeries for RC-AVF. The fistula functions and complications were compared between these two groups.
The two groups did not differ significantly in the incidence of postoperative bleeding, limb swelling, infection, steal syndrome, fistula thrombosis, fistula aneurysm, fistula flow, fistula maturation time, Kt/v, and fistula median survival.
Forearm BVT-AVF created by the no-touch technique is a good alternative access for patients in whom the standard arteriovenous fistula cannot be established.
比较采用非接触技术创建的前臂贵要静脉转位动静脉内瘘(BVT-AVF)与传统桡动脉头静脉内瘘(RC-AVF)的功能及并发症。
对22例患者采用非接触技术创建贵要静脉转位桡动脉内瘘。另外30例患者接受了RC-AVF手术。比较两组内瘘的功能及并发症。
两组在术后出血、肢体肿胀、感染、窃血综合征、内瘘血栓形成、内瘘动脉瘤、内瘘血流量、内瘘成熟时间、Kt/v及内瘘中位生存期的发生率上无显著差异。
对于无法建立标准动静脉内瘘的患者,采用非接触技术创建的前臂BVT-AVF是一种良好的替代通路。