Radial artery superficialization for hemodialysis patients with severe heart failure: A case report.

IF 1.4 4区 医学 Q3 UROLOGY & NEPHROLOGY
Xi Zhang, Bo Tu, Ziming Wan
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引用次数: 0

Abstract

Arteriovenous fistula (AVF) and/or arteriovenous graft (AVG) burdens cardiac load. It is a challenge to create a vascular access (VA) on a patient who suffers severe heart failure and also combines with contraindications of central vein catheter implantation. Superficialized radial artery (RA) could be an available VA as an outflow for continuous hemodialysis. A 57-year-old male had a left arm distal radiocephalic fistula for hemodialysis for 10 months. The patient showed gradual aggravation of heart failure. RA superficialization was performed under anesthesia protocols and surgery steps. Fourteen days after the surgery, the superficialized artery supplied the hemodialysis as an outflow without any uncomfortable and complications. The echocardiographies present the changes of the heart structures and functions during the whole period from the beginning of AVF formation to the 18-month follow-up RA superficialization. RA superficialization technique should be an alternative VA for continuous hemodialysis under suitable conditions.

严重心力衰竭血液透析患者桡动脉浅表术1例报告。
动静脉瘘(AVF)和/或动静脉移植(AVG)加重了心脏负荷。对于患有严重心力衰竭且合并中心静脉导管植入禁忌症的患者,建立血管通路(VA)是一个挑战。浅化桡动脉(RA)可作为持续血液透析的流出静脉。男性,57岁,左臂放射性远端脑瘘血液透析10个月。病人心力衰竭逐渐加重。RA表面化在麻醉方案和手术步骤下进行。术后14天,浅表动脉为血液透析供血,无任何不适和并发症。超声心动图显示从AVF形成开始到RA表面化随访18个月期间心脏结构和功能的变化。在合适的条件下,RA表面化技术可作为持续血液透析的一种替代方法。
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来源期刊
Seminars in Dialysis
Seminars in Dialysis 医学-泌尿学与肾脏学
CiteScore
3.00
自引率
6.20%
发文量
91
审稿时长
4-8 weeks
期刊介绍: Seminars in Dialysis is a bimonthly publication focusing exclusively on cutting-edge clinical aspects of dialysis therapy. Besides publishing papers by the most respected names in the field of dialysis, the Journal has unique useful features, all designed to keep you current: -Fellows Forum -Dialysis rounds -Editorials -Opinions -Briefly noted -Summary and Comment -Guest Edited Issues -Special Articles Virtually everything you read in Seminars in Dialysis is written or solicited by the editors after choosing the most effective of nine different editorial styles and formats. They know that facts, speculations, ''how-to-do-it'' information, opinions, and news reports all play important roles in your education and the patient care you provide. Alternate issues of the journal are guest edited and focus on a single clinical topic in dialysis.
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