Lemaitre P, Ackman C F, O'Regan S, Laplante M P, Kaye M
Clin Nephrol. 1978 Jul;10(1):27-31.
18 months clinical experience with 6 mm polytetrafluorethylene forearm grafts for hemodialysis access has been described. 35 grafts were implanted, all in patients who had unsuitable vessels for construction of a regular Brescia-Cimino forearm fistula. The overall patency was 71% with mean duration of 10.3 months, and at any one time more than 85% of the grafts at risk were functional. Complications, including undesirable flow rates, edema, thrombosis, aneurysm and cardiac failure have been discussed and rational methods of avoidance described. We believe the polytetrafluorethylene (PTFE) graft represents an important advance in hemodialysis access.
已描述了使用6毫米聚四氟乙烯前臂移植物进行血液透析通路的18个月临床经验。共植入了35个移植物，所有患者的血管均不适合构建常规的布雷西亚-奇米诺前臂内瘘。总体通畅率为71%，平均持续时间为10.3个月，在任何时候，超过85%有风险的移植物功能正常。已讨论了包括不良流速、水肿、血栓形成、动脉瘤和心力衰竭在内的并发症，并描述了合理的预防方法。我们认为聚四氟乙烯（PTFE）移植物代表了血液透析通路的一项重要进展。
