Department of Internal Medicine, Division of Kidney and Dialysis, Kansai Rosai Hospital, Amagasaki, Japan.
Department of Cardiovascular Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.
J Vasc Access. 2021 Sep;22(5):840-844. doi: 10.1177/1129729820933396. Epub 2020 Jun 20.
Arteriovenous fistula is recommended, but arteriovenous graft is acceptable when a fistula is not possible. Acuseal is an early cannulation graft with a trilayer structure. Although primary patency rates of Acuseal appear to be similar to those of other standard grafts, few studies have investigated long-term results and complications. In our series, delamination of the wall structure occurred in 5.1% (6/115) by 21 months after Acuseal implantation. The causes could be divided into cannulation-related and cannulation-unrelated. Here, we describe the six cases in which delamination of the wall structure occurred in the medium term after Acuseal implantation.
动静脉瘘是首选，但如果无法建立瘘管，则可以使用动静脉移植物。Acuseal 是一种具有三层结构的早期插管移植物。虽然 Acuseal 的初次通畅率似乎与其他标准移植物相似，但很少有研究调查其长期结果和并发症。在我们的系列研究中，在植入 Acuseal 后 21 个月，有 5.1%（6/115）的患者出现了管壁分层。其原因可以分为与插管相关和与插管无关。在此，我们描述了 Acuseal 植入后中期发生管壁分层的 6 例患者。
