Zanon G F, Rui L, Sogaro F, Di Landro D, Bettini B, Bertoli M, Cagol P P, Lise M
Minerva Chir. 1980 Nov 15;35(21):1655-8.
Reference is made to a personal series of vascular accesses for haemodialysis on 273 patients aged 6 months to 70 yr. During the course of 12 years, 533 operations were performed: 109 cannulations of the saphena, 152 by-pass, 251 arteriovenous fistulae (including 22 on patients under 10 yr of age), and 21 "difficult accesses". An assessment of the advantages and disadvantages of the techniques employed showed that the Cimino-Brescia fistula, combined, if necessary, with transient cannulation, is the soundest access owing to its longer life, lower incidence of complications, and better utilisation of the vascular material available.
本文参考了对273例年龄在6个月至70岁之间的患者进行血液透析的一系列血管通路情况。在12年的时间里，共进行了533次手术：109次大隐静脉插管、152次搭桥、251次动静脉内瘘（包括22例10岁以下患者）以及21次“困难通路”。对所采用技术的优缺点评估表明，西米诺-布雷西亚内瘘在必要时结合临时插管，是最可靠的通路，因为其使用寿命更长、并发症发生率更低，且能更好地利用现有的血管材料。
