Alm A, Lundberg M
Scand J Urol Nephrol. 1977;11(1):53-7. doi: 10.3109/00365597709179692.
Brescia-Cimino arterio-venous fistulae have been used as blood access for intermittent hemodialysis in 67 patients between 1972-74. The mean age of 32 men and 35 women was 48. Thirty-five patients were dialyzed through an external arterio-venous shunt for as long as 7 years before they received a fistula. Of 92 operations, 63 (68.5%) were successful. Ten patients (14.9%) never received a functioning fistula. The mean function time of 63 fistulae was 8.3 months. Twenty-two functioning fistulae eventually failed. In 11 cases no precipitating factor could be found. In six patients, septicemia coincided with infection at the fistula puncture site. Cardiac decompensation because of augmented venous return to the heart was not observed. Advantages and disadvantages with the Brescia-Cimino fistula are discussed and compared with the Quinton-Scribner shunt.
1972年至1974年间，67例患者采用了布雷西亚-奇米诺动静脉内瘘作为间歇性血液透析的血管通路。32名男性和35名女性的平均年龄为48岁。35例患者在接受内瘘手术前，通过体外动静脉分流进行了长达7年的透析。在92例手术中，63例（68.5%）成功。10例患者（14.9%）从未获得功能良好的内瘘。63例内瘘的平均使用时间为8.3个月。22例功能良好的内瘘最终失功。11例未发现促成因素。6例患者发生败血症，同时伴有内瘘穿刺部位感染。未观察到因回心血量增加导致的心脏代偿失调。本文讨论了布雷西亚-奇米诺内瘘的优缺点，并与昆顿-斯克里布纳分流进行了比较。
