Schumann M, Bartel M, Wagner W
Abteilung für Thorax- und Gefässchirurgie, Klinik für Chirurgie der Friedrich-Schiller-Universität Jena.
Zentralbl Chir. 1996;121(5):376-9.
Over a 10 years period 260 arterio-venous fistulas have been performed and followed up. The Brescia-Ciminoshunt was the most frequent type (n = 174). This type of fistula has been performed in about 85.2% of all cases as primary operation method. In secondary formations the saphena-interposition was used most frequently (49.4% of all cases). A shunt revision should be performed in cases of immediate thrombosis although a shorter life time of revisioned shunts compared with new formations is known. The new formation of a shunt should be considered if terminal thrombotic changes have been detected as well as in cases of shunt infection or shunt insufficiency.
在10年期间，共进行了260例动静脉内瘘手术并进行了随访。布雷西亚-西米诺分流术是最常见的类型（n = 174）。这种类型的内瘘作为主要手术方法在所有病例中约占85.2%。在二次手术中，最常使用大隐静脉搭桥术（占所有病例的49.4%）。尽管已知修复后的分流管使用寿命比新造的短，但对于立即发生血栓形成的病例应进行分流管修复。如果检测到终末期血栓形成变化以及分流管感染或分流管功能不全的情况，则应考虑重新造一个分流管。
