Department of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, China.
Department of Nephrology, Chengdu Second People's Hospital, Sichuan Province, Chengdu, China.
BMC Nephrol. 2024 Mar 18;25(1):105. doi: 10.1186/s12882-024-03523-z.
The aim of this study was to investigate the effectiveness and safety of the pull-through technique through antegrade radial artery puncture without sheath insertion in balloon-assisted radiocephalic AVF maturation.
We retrospective studied a total of 62 patients with immature radiocephalic AVF, who received balloon-assisted maturation in our hospital. 15 patients received pull-through technique through radial artery without sheath insertion and 47 patients received treatment through a regular venous approach.
The success rate of pull-through technique group and control group was 86.7% (13 out of 15), 89.1% (41 out of 46) respectively. There was no significant difference between two groups (P > 0.05). In our study, there were 2 patients in the pull-through technique group and 3 patients in the control group, which had hematoma in the vein puncture site (P = 0.59). There were also no differences in the primary patency rate between two groups at 6 months and 12 months (76.9% vs 70.7%, 38.4% vs 41.5%, respectively, P > 0.05).
The pull-through technique through antegrade radial artery without sheath insertion in promoting radiocephalic AVF maturation is effective and safe.
本研究旨在探讨经桡动脉顺行穿刺无鞘管置入行球囊辅助头静脉桡动脉内瘘成熟术的有效性和安全性。
回顾性分析我院收治的 62 例不成熟头静脉桡动脉内瘘患者的临床资料，其中 15 例行顺行经桡动脉无鞘管置入拉栓技术，47 例行常规静脉入路治疗。
拉栓技术组和对照组的成功率分别为 86.7%（13/15）和 89.1%（41/46），两组间差异无统计学意义（P>0.05）。在本研究中，拉栓技术组有 2 例和对照组有 3 例患者在静脉穿刺部位出现血肿（P=0.59）。两组在 6 个月和 12 个月的初始通畅率也没有差异（76.9%比 70.7%，38.4%比 41.5%，均 P>0.05）。
经桡动脉顺行穿刺无鞘管置入行球囊辅助头静脉桡动脉内瘘成熟术是有效和安全的。
