基动脉动脉静脉的长期结果
Kajan Raj Shrestha1, Prashiddha Bikram Kadel1, Rajat Pradhan1
1Manmohan Cardiothoracic Vascular and Transplant Center, Institute of Medicine, Kathmandu, Nepal.
Hemodialysis international. International Symposium on Home Hemodialysis
|March 13, 2026
概括
臂状动脉静脉囊 (AV囊) 是一种可行的血液透析接入选项,具有良好的通透性和可接受的并发症. 新的技术可能会进一步改善患有耗尽自身血管接入的患者的治疗结果.
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:
- 自生性动脉静脉囊在血液透析中是首选的,因为它具有更高的通透性和更低的感染率.
- 基静脉囊为不适合静脉的患者提供了一个替代方案,但面临着利用挑战.
- 这项研究评估了在三级血管中心基 AV 囊生成的10年结果.
研究的目的:
- 评估基 AV 形成的临床结果,通透率和并发症概况.
- 为了确定该程序在第三级护理环境中的长期有效性和安全性.
- 将结果与血液透析接入的国际标准进行比较.
主要方法:
- 在2014年至2024年间创建的167个基动脉的回顾性分析.
- 包括患者的人口统计,并发症,手术细节和随访数据.
- 通过多普勒超声波测量评估血管直径,并分析成熟率,通透率和并发症率.
主要成果:
- 在158名患者中 (平均年龄为55.6岁) 创建了167个;84.4%的患者在6周内成功成熟.
- 初级通透率为98%在1年,65%在3年,28%在5年.
- 常见的并发症包括出血 (40.7%),感染 (12.6%) 和伪动脉瘤 (11.4%).
结论:
- 基 AV 囊提供了一个可行的血液透析接入选项,其结果与国际标准相当.
- 该程序显示了可接受的通透性和并发症率,对于患有耗尽的自身血管接入的患者.
- 建议对新技术进行进一步评估,以潜在地减少术后并发症并改善成本效益.
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