血液透析的血管通路。通畅率及修复结果。
Vascular access for hemodialysis. Patency rates and results of revision.
作者信息
Palder S B, Kirkman R L, Whittemore A D, Hakim R M, Lazarus J M, Tilney N L
出版信息
Ann Surg. 1985 Aug;202(2):235-9. doi: 10.1097/00000658-198508000-00015.
Abstract
Over a 4-year interval, 324 arteriovenous conduits were created in 256 patients with end-stage renal disease as access for chronic hemodialysis. These included 154 Cimino fistulae, 163 polytetrafluoroethylene (PTFE) grafts, and seven miscellaneous grafts. Satisfactory patency rates were demonstrated for as long as 4 years for both Cimino fistulae and PTFE grafts by life-table analysis. Failures of Cimino fistulae usually occurred early in the postoperative period, secondary to attempts to use inadequate veins. Thrombosis caused the majority of PTFE graft failures and was generally the result of venous stenosis. Correction of such venous stenosis is mandatory to restore graft patency and can result in prolonged graft survival.
摘要
在4年的时间里，为256例终末期肾病患者建立了324条动静脉通路用于慢性血液透析。其中包括154条自体动静脉内瘘、163条聚四氟乙烯（PTFE）移植物和7条其他类型的移植物。通过寿命表分析表明，自体动静脉内瘘和PTFE移植物的通畅率在长达4年的时间里都令人满意。自体动静脉内瘘的失败通常发生在术后早期，继发于使用了不充分的静脉。血栓形成是导致大多数PTFE移植物失败的原因，而静脉狭窄通常是血栓形成的结果。纠正这种静脉狭窄对于恢复移植物通畅至关重要，并且可以延长移植物的存活时间。
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