早期的术后耐药性指数可以预测放射性脑动脉静脉囊衰竭
Koji Inagaki1, Chikao Onogi1,2, Keita Iimuro1
1Department of Nephrology, Chutoen General Medical Center, Shizuoka, Japan.
The journal of vascular access
|November 2, 2024
概括
早期对抗性指数 (RI) 的超声波测量可以预测动脉静脉 (AVF) 失败. 在术后的第0天和第1天,较高的RI和第1天较低的流量 (FV) 与AVF衰竭有关.
科学领域:
- 血管外科 血管外科
- 放射学 放射学是一门学科.
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 超声波测试对于评估动脉静脉 (AVF) 成熟至关重要.
- 动脉流量量 (FV) 在6周可以预测AVF失败,但早期术后的FV和阻力指数 (RI) 与失败的关联不清楚.
研究的目的:
- 调查早期手术后臂动脉FV和RI与随后的AVF衰竭之间的关系.
主要方法:
- 对102名接受放射性脑-AVF创建的患者进行了回顾性分析.
- 手臂动脉FV和RI的超声波测量在术后的0和1天.
- 由需要干预的闭塞,狭窄或管问题定义的AVF故障.
主要成果:
- 在术后的第0天,较高的RI与AVF衰竭有显著的关联 (OR,2.16).
- 在术后第一天,较低的FV (OR,0.63) 和较高的RI (OR,2.17) 都与AVF衰竭有显著的关联.
- 从第0天到第1天,FV增加,RI显著下降.
结论:
- 阻力指数 (RI) 是早期术后期AVF衰竭的预测指标.
- 血管可能会影响早期AVF的结果,使RI成为一个有价值的预后指标.
相关概念视频
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...


