New Insights into Dialysis Vascular Access: What Is the Optimal Vascular Access Type and Timing of Access Creation in CKD and Dialysis Patients?
New Insights into Dialysis Vascular Access: What Is the Optimal Vascular Access Type and Timing of Access Creation in CKD and Dialysis Patients?
复制标题
DOI：
10.2215/cjn.02190216
复制
发表时间：
2016-08-01
影响因子：
9.8
通讯作者：
Lok, Charmaine E.
中科院分区：
文献类型：
--
作者：
Woo, Karen;Lok, Charmaine E.
当患者处于CKD的透析前阶段时，开始进行最佳血管通路规划。个体患者最佳血管通路的选择和通路创建时间的确定取决于多种因素，这些因素可能因患者而异，包括人口统计学、合并症、解剖结构和个人偏好。重要的是要考虑每例患者的ESRD生命计划（因此，他们对每次血管通路创建或放置的总体透析通路生命计划）。最佳入路类型和入路创建时间也受患者外部因素的影响，例如外科医生经验和护理过程。在这篇综述中，我们将讨论上肢动静脉内瘘和移植物的最佳入路类型和入路创建时间的关键决定因素。
Optimal vascular access planning begins when the patient is in the predialysis stages of CKD. The choice of optimal vascular access for an individual patient and determining timing of access creation are dependent on a multitude of factors that can vary widely with each patient, including demographics, comorbidities, anatomy, and personal preferences. It is important to consider every patient's ESRD life plan (hence, their overall dialysis access life plan for every vascular access creation or placement). Optimal access type and timing of access creation are also influenced by factors external to the patient, such as surgeon experience and processes of care. In this review, we will discuss the key determinants in optimal access type and timing of access creation for upper extremity arteriovenous fistulas and grafts.