距离前臂穿孔静脉为本土的动脉静脉
Maciej Gołębiowski1, Julia Grasela1, Olga Kwiecień1
1Faculty of Medicine, Wroclaw Medical University, Wrocław, Poland.
The journal of vascular access
|November 3, 2025
概括
远端穿孔静脉动脉囊 (DPV-AVF) 为慢性病患者提供了足够的功能. 这种技术允许进行较小的切口,并保留了未来近端前臂囊创建的选择.
科学领域:
- 血管外科 血管外科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗器械 医疗器械
背景情况:
- 穿孔静脉连接表面和深层静脉系统.
- 远端前臂穿孔器,特别是在辐射侧,是众多的.
- 远端穿孔静脉 (DPV) 可以作为动脉静脉 (AVF) 的输出血管.
研究的目的:
- 描述使用远端穿孔静脉 (DPV) 作为远端前臂本土动脉静脉 (AVF) 的输出.
- 评估DPV-AVF在患有晚期慢性病的患者的安全性和有效性.
主要方法:
- 十六名患者 (G4/G5 CKD 阶段) 接受了DPV-AVF创建.
- 通过超声波进行血管映射,确定了DPV.
- 在手术后和6周的随访期间,评估了AVF功能,通透性和并发症.
主要成果:
- 所有16个DPV-AVF都是专利后释放,没有短期并发症.
- 手术后24小时内,的平均流量为513.7毫升/分钟.
- 一,三和六个月的初级通透率分别为87.5%,62.5%和43.8%.
结论:
- DPV-AVF表现出足够的功能,与标准放射性脑型AVF (RCAVF) 相美.
- 由于辐射动脉的接近,DPV-AVF技术导致了较小的外科创伤.
- 使用DPV可以为未来的AVF创建保留近接前臂选项.
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