透析通路的阿尔法到欧米茄:评估、干预、创新(第二部分)。

Mohammad Ghasemi-Rad, Kelly Trinh, Mohadese Ahmadzade, Kevin Agahi, Xavier Jefferson, Carleigh Klusman, David Leon, David Wynne, Jie Cui
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引用次数: 0

摘要

背景:终末期肾病(ESKD)是一个日益增长的全球健康问题,显著影响患者的发病率和死亡率,特别是在血液透析患者中。血管通路仍然是一个主要挑战,经常限制血液透析的有效性,需要战略规划来优化结果。目的:本文回顾了目前透析血管通路的证据,重点是术前和术后评估,并发症的必要干预措施,血管通路材料和技术的创新。研究设计:这是一篇文献综述,分析了现有的研究、临床试验和指南,以评估透析通路中不同的血管通路选择、干预措施和新兴技术。结果:研究结果强调了术前全面评估的重要性,包括血管成像和患者特异性考虑,以优化通路放置。术后评估和早期干预对于确保获得寿命至关重要。药物包被气球、支架技术和生物工程移植物等创新改善了患者的预后,减少了并发症。结论:血管通路技术的战略规划和进步对提高透析效率和患者预后起着至关重要的作用。需要持续的研究和创新来完善血管通路技术,并解决与ESKD管理相关的挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Alpha to Omega of Dialysis Access: Evaluation, Interventions, Innovations (Part 2).

Background: End-stage kidney disease (ESKD) is a growing global health concern, significantly impacting patient morbidity and mortality, particularly among patients on hemodialysis. Vascular access remains a major challenge, often limiting the effectiveness of hemodialysis and requiring strategic planning to optimize outcomes. Purpose: This review examines the current evidence on vascular access for dialysis, with a focus on pre- and post-operative assessments, necessary interventions for complications, and innovations in vascular access materials and techniques. Research Design: This is a literature review analyzing existing studies, clinical trials and guidelines to evaluate the different vascular access options, interventions, and emerging technologies in dialysis access. Results: Findings highlight the importance of thorough preoperative assessment, including vascular imaging and patient-specific considerations, to optimize access placement. Postoperative assessments and early interventions are crucial in ensuring access longevity. Innovations such as drug-coated balloons, stent technologies, and biologically engineered grafts have improved patient outcomes and reduced complications. Conclusion: Strategic planning and advancements in vascular access technology play a critical role in improving dialysis efficiency and patient outcomes. Continued research and innovation are needed to refine vascular access techniques and address challenges associated with ESKD management.

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