Department of Surgery, State University of New York Downstate Medical Center, Brooklyn, NY, USA.
Am Surg. 2023 May;89(5):2043-2045. doi: 10.1177/00031348211011127. Epub 2021 May 15.
The transposed brachiobasilic arteriovenous fistula is often constructed by employing a two-stage procedure for better maturation and long-term patency, but its validity on overall outcomes remains controversial. A single-center's experience is presented herein, comparing one- and two-stage approaches on 229 consecutive first-time arteriovenous access constructed in the upper arm with a loop configuration and an obtuse anastomosis angle that provide favorable flow dynamics. The one- and two-year patency rates were equivalent between the two approaches, but the fistula rate was greater and the maturation time was shorter with the one-stage procedure.
移植肱动脉-贵要静脉动静脉瘘通常采用两期手术来获得更好的成熟和长期通畅，但关于其整体效果的有效性仍存在争议。本文介绍了单中心的经验，比较了在 229 例连续的首次在上臂构建的Loop 构型和钝角吻合角以提供良好的血流动力学的动静脉通路中，一期和两期手术方法。两种方法的两年通畅率相当，但一期手术的瘘管形成率更高，成熟时间更短。
