Schwartz A B, DeClement F A, Bower R, Chinitz J L, Lyons H, Capaldo R A
JAMA. 1978 Apr 28;239(17):1782-3.
The preservation of arteriovenous (AV) access site is important to long-term survival of patient's requiring maintenance hemodialysis life-support therapy. Patients with chronic renal failure and uremia who are not suited for immediate application of a subcutaneous AV fistula or arteriovenous graft and who require an initial Teflon-Silastic AV shunt to initiate urgent hemodialysis need not lose these vessels when the AV shunt is removed. After venous maturation, these patients should have a subcutaneous AV fistula created from the uninfected, unclotted shunt before infection or clotting would cause loss of these vessels.
保留动静脉（AV）通路部位对于需要维持性血液透析生命支持治疗的患者的长期存活至关重要。对于那些不适合立即应用皮下AV内瘘或动静脉移植物，且需要最初使用聚四氟乙烯-硅橡胶AV分流管来启动紧急血液透析的慢性肾衰竭和尿毒症患者，当AV分流管移除时，不必失去这些血管。在静脉成熟后，这些患者应在感染或血栓形成导致这些血管丧失之前，用未感染、未形成血栓的分流管建立皮下AV内瘘。
