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[血液透析通路中的高功能动静脉吻合及其并发症]

[Hyperfunctional arteriovenous anastomosis and complications in hemodialysis access].

作者信息

Bachleda P, Utíkal P, Zadrazil J, Grosmanová T

机构信息

I. chirurgická klinika FN, Olomouc.

出版信息

Rozhl Chir. 1998 Jan;77(1):48-50.

PMID:9623312
Abstract

A less frequent late complication of arteriovenous fistulas for haemodialysis is the development of a hyperfunctional fistula with ischaemia of the peripheral part of the extremity. These complications affect autologous fistulas as well as those created by the graft. Ischemia is much more common when the brachial artery is used as the flow vessel. For prevention the size of the arterial anastomosis of the shunt is of basic importance. The authors evaluate therapeutic possibilities of this complication.

摘要

血液透析用动静脉内瘘较少见的晚期并发症是出现功能亢进的内瘘并伴有肢体远端缺血。这些并发症既影响自体动静脉内瘘,也影响人工血管动静脉内瘘。当使用肱动脉作为血流血管时,缺血更为常见。预防方面,分流的动脉吻合口大小至关重要。作者评估了该并发症的治疗可能性。

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