构建动脉静脉囊的可行性和效率<2毫米静脉-一个系统性审查和元分析
Ruijia Feng1, Siwen Wang1, Jianwen Yu2
1Department of Vascular Surgery, National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Frontiers in cardiovascular medicine
|October 9, 2023
概括
静脉直径低于2mm,会对血液透析的自身动脉静脉 (AVF) 功能成熟产生负面影响. 然而,这种较小的直径不会影响12个月后的AVF通透率.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 血管外科 血管外科
- 医疗器械 医疗器械
背景情况:
- 自生动脉静脉囊 (AVF) 是末期脏疾病 (ESKD) 的首选血液透析接入方法.
- 创建AVF的最佳静脉直径值仍在争论中.
- 建立明确的指导方针可以改善患者的治疗结果,并获得长寿.
研究的目的:
- 为了评估2mm静脉直径值对AVF结果的影响.
- 基于静脉直径的功能成熟和通透率进行比较.
- 为AVF创建准则提供证据.
主要方法:
- 在PubMed,Embase和Web of Science的系统文献搜索.
- 八项高质量研究的元分析,涉及1075名患者.
- 用于结果合成的固定和随机效应模型;用于偏差评估的子组分析.
主要成果:
- 静脉直径<2mm的患者具有显著较低的功能成熟率 (OR=0.19,P<0.01).
- 两组之间在12个月的初级或累计通透率上没有发现显著差异.
- 静脉直径<2mm与较低的成熟度有关,不管年龄,糖尿病或高血压.
结论:
- 静脉直径<2mm会对AVF功能成熟产生负面影响.
- 足够的静脉直径对于成功的AVF成熟至关重要.
- 12个月时静脉直径<2mm对AVF通透性没有显著影响.
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