Yasunaga C, Nakamoto M, Fukuda K, Goya T
Kidney Center, Saiseikai Yahata Hospital, Kitakyushu, Japan.
Am J Kidney Dis. 1995 Oct;26(4):602-6. doi: 10.1016/0272-6386(95)90596-0.
Superficial repositioning of the artery (SRA) is a modality of the blood access operation for chronic hemodialysis that has been previously used in cases of cardiac failure. We performed 42 SRAs from 1986 to 1993; thereafter, we retrospectively investigated the operative indications, postoperative complications, and long-term results. Superficial repositioning of the artery was indicated for the lack of an appropriate vein (17 cases; 40%), frequent and early access failure due to arteriovenous fistula or polytetrafluoroethylene grafts (six cases; 14%), venous hypertension (five cases; 12%), and cardiac failure (two cases; 5%). The patency rates of the SRAs were 87% at 3 years and 58% at 4.5 years. There was some difficulty in finding the returning veins in five of 28 functioning SRAs (18%). The SRA is thus considered to be a secondary-selected blood access operation; however, it also may be used as an efficient blood access for an extended period of time without any serious complications.
动脉浅表重新定位术（SRA）是一种用于慢性血液透析的血管通路手术方式，此前曾用于心力衰竭患者。1986年至1993年期间，我们共进行了42例SRA手术；之后，我们对手术指征、术后并发症及长期效果进行了回顾性研究。动脉浅表重新定位术的适应证包括：缺乏合适的静脉（17例，40%）、动静脉内瘘或聚四氟乙烯移植物导致频繁且早期的血管通路失败（6例，14%）、静脉高压（5例，12%）以及心力衰竭（2例，5%）。SRA的3年通畅率为87%，4.5年通畅率为58%。在28条功能良好的SRA中，有5条（18%）在寻找回流静脉时存在一定困难。因此，SRA被认为是一种次选的血管通路手术；然而，它也可作为一种有效的血管通路长期使用，且无任何严重并发症。
