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Andre V Fonseca¹, Marcos G Toledo Barros¹, Jose Cc Baptista-Silva²

¹Department of Surgery, Division of Vascular and Endovascular Surgery, Universidade Federal de São Paulo, São Paulo, Brazil.

The Cochrane database of systematic reviews

|February 14, 2024

概括

在血液透析 (HD) 患者中,针对血栓化动脉静脉 (AVF) 和移植 (AVG) 的干预措施的有效性仍然不清楚,因为证据有限且质量不佳. 需要进一步的研究来确定对AV接入功能障碍的最佳治疗方法.

科学领域:

病学和血管外科
临床试验方法论临床试验方法论
基于证据的医学基于证据的医学.

背景情况:

动脉静脉 (AVF) 和移植 (AVG) 的血栓形成需要临时使用导管,增加感染和住院的风险.
目前的指导方针为管理血栓化的AVF和AVG提供了相互矛盾的建议,强调了基于证据的干预措施的必要性.

结论:

目前没有足够的高质量的证据来指导HD患者对血栓化AVF和AVG的最佳管理.
对大多数结果的证据确定性非常低,这表明未来的研究可能会显著改变目前的理解.
优先考虑未来对血栓性HD接入的干预措施的研究对于改善患者的治疗结果和血管接入寿命至关重要.

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