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用于血液透析血管通路构建的动脉替代物的经验。

Experience with arterial substitutes in the construction of vascular access for hemodialysis.

作者信息

Haimov M, Burrows L, Schanzer H, Neff M, Baez A, Kwun K, Slifkin R

出版信息

J Cardiovasc Surg (Torino). 1980 Mar-Apr;21(2):149-54.

PMID:7364857
Abstract

Thirty autogenous saphenous vein grafts, 91 modified bovine heterografts and 96 PTFE grafts were used in the construction of vascular access for hemodialysis. The indication for the use of an arterial substitute was the unavailability of suitable artery or vein for the construction of a standard subcutaneous arteriovenous fistula. Ten of these grafts were placed in the lower extremity while the rest were placed in either the forearm or upper arm. All three types of grafts provided an immediate satisfactory solution to a difficult problem. When compared in terms of longterm patency, the autogenous saphenous vein proved to be inferior to either the modified bovine heterograft or the PTFE graft. Comparing all three grafts, the PTFE graft is currently our vascular substitute of choice for patients requiring grafts for arteriovenous fistulas for hemodialysis.

摘要

30条自体隐静脉移植物、91条改良牛异种移植物和96条聚四氟乙烯(PTFE)移植物被用于构建血液透析的血管通路。使用动脉替代物的指征是无法获得合适的动脉或静脉来构建标准的皮下动静脉内瘘。其中10条移植物置于下肢,其余的置于前臂或上臂。所有三种类型的移植物都为一个难题提供了即时的满意解决方案。就长期通畅率而言,自体隐静脉被证明不如改良牛异种移植物或PTFE移植物。比较这三种移植物,对于需要移植物来构建血液透析动静脉内瘘的患者,PTFE移植物目前是我们的血管替代物首选。

相似文献

1
Experience with arterial substitutes in the construction of vascular access for hemodialysis.用于血液透析血管通路构建的动脉替代物的经验。
J Cardiovasc Surg (Torino). 1980 Mar-Apr;21(2):149-54.
2
Use of expanded polytetrafluoroethylene grafts for vascular access in hemodialysis: laboratory and clinical evaluation.膨体聚四氟乙烯移植物在血液透析血管通路中的应用:实验室与临床评估
Am Surg. 1977 Jul;43(7):455-9.
3
[Arteriovenous access for hemodialysis by vascular transplants].[通过血管移植进行血液透析的动静脉通路]
Z Urol Nephrol. 1980;73(8):593-9.
4
[Preserved saphenous grafts in hemodialysis. 20 years' experience].
Nephrologie. 1994;15(2):177-80.
5
Polytetrafluoroethylene (PTFE) grafts for haemodialysis: patency and complications compared with those of saphenous vein grafts.
Aust N Z J Surg. 1979 Dec;49(6):639-42. doi: 10.1111/j.1445-2197.1979.tb06478.x.
6
Alternatives for vascular access for hemodialysis: experience with autogenous saphenous vein autografts and bovine heterografts.血液透析血管通路的替代方案:自体大隐静脉自体移植和牛异种移植的经验。
Surgery. 1974 Mar;75(3):447-52.
7
[Use of an autovenous transplant, polytetrafluoroethylene prosthesis and human umbilical vein bioprosthesis for creating an arteriovenous fistula for programmed hemodialysis].[使用自体静脉移植、聚四氟乙烯假体和人脐静脉生物假体建立用于计划性血液透析的动静脉内瘘]
Vestn Khir Im I I Grek. 1989 Nov;143(11):36-8.
8
Use of short PTFE segments (<6 cm) compares favorably with pure autologous repair in failing or thrombosed native arteriovenous fistulas.在失功或血栓形成的自体动静脉内瘘中,使用短的聚四氟乙烯(PTFE)段(<6 cm)与单纯自体修复相比具有优势。
J Vasc Surg. 2005 Jan;41(1):76-81. doi: 10.1016/j.jvs.2004.10.034.
9
Medium-term follow-up of forty autogenous vein and forty polytetrafluoroethylene (Gore-Tex) grafts for vascular access.四十条自体静脉和四十条聚四氟乙烯(戈尔泰克斯)移植物用于血管通路的中期随访。
Surgery. 1980 Nov;88(5):667-72.
10
[Surgical experiences with the arteriovenous hemodialysis shunt (1970-1988)].[动静脉血液透析分流术的手术经验(1970 - 1988年)]
Helv Chir Acta. 1989 Dec;56(4):621-7.

引用本文的文献

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Neointimal hyperplasia associated with synthetic hemodialysis grafts.与合成血液透析移植物相关的新生内膜增生。
Kidney Int. 2008 Nov;74(10):1247-61. doi: 10.1038/ki.2008.318. Epub 2008 Jul 30.
2
Non-dialysis vascular access.非透析血管通路
Ir J Med Sci. 1984 Oct;153(10):343-7. doi: 10.1007/BF02939929.
3
Vascular access: experience with the brachiocephalic fistula.血管通路:头臂动静脉内瘘的经验
Ann R Coll Surg Engl. 1986 Jul;68(4):203-6.
4
A self-sealing dialysis prosthesis. Coaxial double PTFE-silicone graft.一种自密封透析假体。同轴双聚四氟乙烯-硅树脂移植物。
Ann Surg. 1986 Nov;204(5):574-9. doi: 10.1097/00000658-198611000-00011.
5
An evaluation of expanded polytetrafluoroethylene (PTFE) loop grafts in the thigh as vascular access for haemodialysis in patients with access problems.对大腿部膨体聚四氟乙烯(PTFE)环型移植物作为血管通路问题患者血液透析血管通路的评估。
Ann R Coll Surg Engl. 1988 Jul;70(4):243-5.