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吸烟盒与手腕放射性脑动脉静脉囊:十年的经验

Mohamed S M Elshikhawoda¹, Aidas Raudonaitis², Tarig Barakat²

¹Vascular Surgery, Glan Clwyd Hospital, Rhyl, GBR.

|May 3, 2024

概括

解剖吸烟箱动脉静脉 (SBAVF) 是手腕放射性脑动脉静脉 (RCAVF) 的可行替代品,用于血液透析血管接入. 这项研究发现,SBAVF对于需要血管接入的患者来说是一个合适的首选选择.

科学领域:

血管外科血管外科
腎臟病學 (nephrology) 是一種醫學專業.
透析的访问透析的访问

背景情况:

手腕放射脑动脉静脉 (RCAVF) 是血液透析血管接入 (HVA) 的标准初始程序.
解剖学吸烟箱动脉静脉 (SBAVF) 尽管位于远端,但仍未得到充分利用.
本研究比较了SBAVF和RCAVF的结果.

研究的目的:

分析和比较SBAVF和RCAVF的成熟度,通透性和失败率.
评估SBAVF作为主要HVA程序的可行性.

主要方法:

一个描述性的,回顾性的研究设计.
在慢性病患者中,SBAVF和RCAVF之间的结局的比较.
2013年至2023年间从贝西卡德瓦拉德尔大学卫生委员会收集的数据.

主要成果:

包括179名患者;76%接受了RCAVF,24%接受了SBAVF.
整体的成功率为58.7% (105/179),其中67次失败.
囊衰竭与并发症有显著的关系 (p=0.000).
活塞部位,高血压,糖尿病,心脏病,吸烟,PVD或中央静脉狭窄并没有显著影响活塞衰竭.

结论:

解剖吸烟箱动脉静脉 (SBAVF) 是适合和可行的血液透析血管接入的首选.
SBAVF为传统的RCAVF程序提供了一个可行的替代方案.

关键词:

动脉静脉状囊动脉静脉状囊血液透析血管接入血管接入获得脏通道.吸烟盒动脉静脉囊抽烟盒手腕的动脉静脉囊囊

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