上臂侧侧吻合动-静脉内瘘20例临床分析

目的 探索一种血液透析血管通路新式的动-静脉内瘘方法.方法 对前臂无法建立血液透析血管通路的内瘘患者,经彩超评估上臂血管情况后,采用肱动脉与头静脉或正中静脉或贵要静脉做侧侧吻合.使用连续性缝合完成的技术要求.结果 20例患者上臂侧侧吻合动-静脉内瘘手术一次性成功,无明显内瘘术后相关严重的并发症发生,患者使用情况良好.血...

The clinical analysis of 20 cases maintaining hemodialysis with the upper arm slideanatomosis arteriovenous fistula

Objective To explore a new vascular access in maintenance hemodialysis patients. Methods Brachial blood vessels were assessed by CDFI in patients who have no chance to set up arteriovenous fistula in forearm, we conducted slideanatomosis by continuity suture with brachial artery and cephalic vein or median vein or basilica vein. Results Twenty patients had One-time successful operation in the upper arm slideanatomosis arteriovenous fistula. There were no serious complications after postoperative. Fstula was used in good condition. Blood flow accords with hemodialysis requirements. Conclusion Continuity suture don't need special condition and make full use of autologous blood vessels, with simple operation and high success rate. Most piercing can finish in the forearm.