BRACHIAL-JUGULAR POLYTETRAFLUORETHYLENE FISTULAS FOR HEMODIALYSIS
BRACHIAL-JUGULAR POLYTETRAFLUORETHYLENE FISTULAS FOR HEMODIALYSIS
复制标题
DOI：
10.1016/s0272-6386(12)80060-6
复制
发表时间：
1990-11-01
影响因子：
13.2
通讯作者：
ECHENAGUSIA, A
中科院分区：
文献类型：
--
作者：
POLO, JR;SANABIA, J;ECHENAGUSIA, A
回顾性分析了16例接受肱颈静脉聚四氟乙烯（PTFE）移植物进行血液透析的患者。在4例患者中，该手术用于治疗由于腋静脉长静脉狭窄而导致的功能障碍性臂腋瘘。在12例患者中，手术选择在上肢静脉衰竭的情况下，因为以前多次失败的瘘。两名患者在植入移植物后7个月和10个月死于功能性瘘，原因与血管通路无关。其余14例患者在分流术后8 ~ 26个月内仍有功能性瘘。3名患者需要移植物血栓切除术治疗闭塞发作。术后造影均未发现静脉狭窄。1例患者由于锁骨上方的假体狭窄需要置换移植物节段。我们认为，肱颈静脉移植是一种手术，可以考虑作为血液透析的血管通路的情况下，在上肢和腋窝静脉是不可能的。
A retrospective analysis was made of 16 patients who had received a brachial-jugular polytetrafluoroethylene (PTFE) graft for hemodialysis. In four patients, the procedure was used to treat malfunctioning brachao-axillary fistulas due to long venous stenosis in the axillary vein. In 12` other patients, the operation was chosen in cases of exhaustion of the veins in the upper extremity because of previous multiple failed fistulas. Two patients died with a functioning fistula 7 and 10 months after placement of the graft of causes unrelated to the vascular access. The other 14 patients retained functioning fistulas between 8 and 26 months after construction of the shunt. Three patients needed graft thrombectomy to treat occlusive episodes. No venous stenosis was found ina postoperative fistulography made in those patients. One patient needed substitution of a graft segment due to stenosis of the prosthesis crossing over the clavicle. We believe that the brachial-jugular graft is a procedure that can be considered as vascular access for hemodialysis in cases where the use of veins in the upper extremity and the axilla is not possible.