在内镜辅助的基动脉静脉囊形成的中期结果
Ghaith Almhanni1, Indrani Sen1, Sai Vang1
1Department of Cardiovascular Surgery, Mayo Clinic Health System, Eau Claire, WI.
Journal of vascular surgery cases and innovative techniques
|February 5, 2024
概括
透视静脉收获能够成功地创建单个阶段的手臂基底动脉静脉囊,即使在肥胖患者中也是如此. 这种技术显示出高成熟率和通透率,在透析接入方面被证明是有效的.
科学领域:
- 血管外科 血管外科
- 最少侵入性手术的方法
- 透析的访问 透析的访问
背景情况:
- 内镜静脉收获 (EVH) 在单阶段基动脉静脉囊 (AVF) 创建中未得到充分利用.
- 肥胖是需要AVF的患者常见的并发症,可能会使手术结果复杂化.
- 优化AVF创建对于有效的血液透析接入至关重要.
研究的目的:
- 为了评估单阶段内镜辅助手臂基骨AVF创建的疗效和结果.
- 评估EVH在主要肥胖患者队列中的可行性.
- 为了确定技术成功,管成熟度和穿透率.
主要方法:
- 连续接受单阶段内镜辅助手臂-骨干AVF创建 (2020-2022) 的患者的回顾性分析.
- 纳入标准侧重于接受这种特定AVF技术的患者.
- 主要结果包括技术成功率,成熟率和通透率;次要结果包括并发症率和重新干预需求.
主要成果:
- 在11名主要肥胖患者 (BMI 34 ± 7 kg/m2) 中,100%的技术成功率没有手术内并发症.
- 100%的囊成熟率,在所有需要透析的患者中取得成功.
- 在12个月后,初级辅助和二级通透率分别为90%±10%和100%.
结论:
- 内镜静脉收获是一种可行的技术,用于单阶段的基基 AVF 创建.
- 该方法表现出卓越的技术成功,成熟度和通透性,即使在肥胖患者群体中也是如此.
- EVH为建立持久透析接入提供了一个有利的选择.
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