Engels L G, Skotnicki S H, Buskens F G, van Tongeren J H
JPEN J Parenter Enteral Nutr. 1983 Jul-Aug;7(4):412-4. doi: 10.1177/0148607183007004412.
Vascular access for home parenteral nutrition was achieved with arteriovenous fistulae during an average 14.3 months in seven patients. Two Cimino fistulae and six bovine grafts were used. The only complication was bovine graft thrombosis which occurred in six instances despite anticoagulant therapy. Thrombectomy could successfully be performed in three graft thrombosis. Considering complication rates arteriovenous fistulae are valuable alternatives for central venous catheters in long-term parenteral nutrition at home.
7例患者在家中接受肠外营养期间，通过动静脉内瘘实现血管通路，平均使用时间为14.3个月。使用了2个自体动静脉内瘘和6个牛颈静脉移植血管。唯一的并发症是牛颈静脉移植血管血栓形成，尽管进行了抗凝治疗，仍有6例发生。3例移植血管血栓形成患者成功进行了血栓切除术。考虑到并发症发生率，在家中长期肠外营养时，动静脉内瘘是中心静脉导管的有价值替代方案。
