原生动静脉瘘是终末期肾脏疾病血液透析的首选血管通路。

IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Farooq Ahmad Ganie, Hafeezulla Lone, Abdul Majeed Dar, Ghulam Nabi Lone, Mohd Lateef Wani
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引用次数: 0

摘要

目的:本研究的目的是:原发性动静脉瘘是终末期肾病患者获得充分透析和更好预后的首选血管通路吗?材料和方法:本研究在斯利那加克什米尔苏拉的Sher-i-Kashmir医学研究所心血管和胸外科完成。在终末期肾脏疾病患者进行血液透析时,进行原生动静脉(AV)瘘管。随访患者血液透析期间血流通畅和充分性。所有患者均在局麻下手术。结果:桡动脉侧侧吻合和端侧吻合的房室瘘1年后功能通畅率分别为77%和80%。术后2年,侧侧吻合和端侧吻合通畅率分别为50%和55%。此外,无论主要还是次要,在一年后,基于肱动脉的房瘘端侧吻合的通畅率为90%。然而,基于桡动脉和肱动脉的房室瘘在第三年的通畅率迅速下降。结论:我们得出结论,原发性房室瘘后动脉化的手臂浅静脉是血液透析的最佳和合理的血管通路,在此过程中提供充足的血液流动。此外,原发性房室瘘失败应以继发性房室瘘代替,最好基于肱动脉。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Native arterio-venous fistula is the vascular access of choice for hemodialysis in end stage renal disease.

Objectives: THE AIM OF THE STUDY WAS: Is primary Arterio-venous fistula the vascular access of choice for adequate dialysis and better patient outcome in end stage renal disease.

Materials and methods: The present study was done in the department of cardiovascular and thoracic surgery at Sher-i-Kashmir institute of medical sciences, Soura, Srinagar Kashmir. Native Arterio-Venous (AV) fistulas were made in the patients with end stage renal disease for performing hemodialysis. They were followed for patency and adequacy of blood flow during hemodialysis. All the patients were operated under local anesthesia.

Results: The results showed that 77% of the AV fistulas based on radial artery with side-to-side anastomosis and 80% of those with end-to-side anastomosis were functionally patent after one year. After two years, the patency rate in side-to-side and end-to-side anastomosis was 50% and 55%, respectively. In addition, the patency rate was 90% in brachial artery based AV fistula with end-to-side anastomosis, whether done primarily or secondarily, at the end of one year. However, a rapid decline was observed in the patency rate during the third year in both radial artery based and brachial artery based AV fistulas.

Conclusions: We concluded that Arterialised arm superficial veins after primary AV fistula was the optimal and rational vascular access for hemodialysis providing adequate blood flow during this process. Besides, failure of primary AV fistula should be replaced by secondary AV fistula preferably based on brachial artery.

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来源期刊
International Cardiovascular Research Journal
International Cardiovascular Research Journal CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
0.40
自引率
50.00%
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