Application of Arteriovenous Internal Fistula Plasty in Elbow in Hemodialysis_West China Medical Journal

Authors：

 LIUYang ,  HEChun-shui , ZHANGLi-feng , ZENGWei , LIUYuan

Department of Vascular Surgery, Teaching Hospital of Chengdu University of T. C. M, Chengdu, Sichuan 610072, P. R. China;

Corresponding?author：

HEChun-shui, Email: chunshuihe@msn.com

Keywords：

Hemodialysis; Arteriovenous fistula; Elbow

DOI：

10.7507/1002-0179.20140206

Video：

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Objective To summarize and analyze the application of arteriovenous fistula plasty in elbow in hemodialysis. Methods A retrospective analysis was made on the clinical data of 89 patients with chronic renal failure undergoing arteriovenous fistula plasty in elbow for hemodialysis between January 2010 and June 2012. The complications and operative success rate were analyzed. Results Eighty-seven patients had successful fistula for hemodialysis; Three had acute left heart failure; Five had anastomotic thrombosis; and 2 had swollen hand syndrome. Conclusion The choice of arteriovenous fistula plasty in elbow can be effective for hemodialysis, and can be used as a successful choice for the patients with poor conditions.

Citation： LIUYang, HEChun-shui, ZHANGLi-feng, ZENGWei, LIUYuan. Application of Arteriovenous Internal Fistula Plasty in Elbow in Hemodialysis. West China Medical Journal, 2014, 29(4): 682-684. doi: 10.7507/1002-0179.20140206 Copy

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11.	張定芳. 動靜脈內瘺100例圍術期護理[J]. 齊魯護理雜志, 2013, 19(1):91-92.
12.	Jennings WC, Taubman KE. Alternative autogenous arteriovenous hemodialysis access options[J]. Semin Vasc Surg, 2011, 24(2):72-81.
13.	謝輝, 薛冠華, 施婭雪, 等. 橈動脈-肘正中靜脈交通支動靜脈內瘺術初步療效分析[J]. 中國中西醫結合腎病雜志, 2012, 13(7):597-599, 后插5.
14.	楊筱敏, 溫利平, 黃薔薇, 等. 維持性血液透析高位動靜脈內瘺常見并發癥及處理[J]. 現代中西醫結合雜志, 2008, 17(12):1874-1875.
15.	柏樹令, 應大君. 系統解剖學[M]. 北京:人民衛生出版社, 2005:252.
16.	包軍勝, 賈其磊, 岳中瑾, 等. 動靜脈內瘺術608例臨床應用體會[J]. 臨床外科雜志, 2009, 17(8):549-551.
17.	朱立仁, 呂國榮, 楊全, 等. 鈦輪釘建立血液透析動靜脈內瘺43例臨床分析[J]. 華西醫學, 2007, 22(3):613.
18.	李小庭, 王亞斌, 謝曉萍, 等. 以尺動脈-貴要靜脈為首選自體內瘺部位的探討[J]. 臨床腎臟病雜志, 2012, 12(12):534.

1. Bal1 LK. Forty years of vascular access[J]. Nephrol Nurs J, 2009, 36(2):119-123.
2. Allon M. Fistula first:recent progress and ongoing challenges[J]. Am J Kidney Dis, 2011, 57(1):3-6.
3. Kim DS, Kim SW, Kim JC, et al. Clinical analysis of hemodialysis vascular access:comparision of autogenous arterioveonus fistula & arteriovenous prosthetic graft[J]. Korean J Thorac Cardiovasc Surg, 2011, 44(1):25-31.
4. Brescia MJ, Cimino JE, Appel K, et al. Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula[J]. N Engl J Med, 1966, 275(20):1089-1092.
5. 葉文玲, 方理剛, 馬杰, 等. 長期動靜脈內瘺對非糖尿病腎病血液透析患者心臟結構和功能的影響[J]. 中國醫學科學院學報, 2013, 35(1):95-101.
6. 曾蕾, 龐雅君, 龐新華, 等. 血液透析5年以上成人患者AVF血流量影響因素調查分析[J]. 白求恩軍醫學院學報, 2013, 11(3):227-228.
7. 鐘偉強, 楊鐵城, 余林權, 等. 同種異體血管和人造血管移植制作動靜脈內瘺的臨床研究[J]. 中華顯微外科雜志, 2004, 27(2):149-151.
8. 葉朝陽, 袁志忠, 嵇愛琴, 等. 長期留置導管在維持性血液透析患者的應用與隨訪[J]. 中華腎臟病雜志, 2001, 17(5):342-343.
9. 曾文彤, 何春水, 戴迪, 等. 利用橈動脈起始部建立肘部自體動靜脈內瘺[J]. 重慶醫學, 2012, 41(7):712-714.
10. Rosas SE, Feldman HI. Synthetic vascular hemodialysis access versus native arteriovenous fistula:a cost-utility analysis[J]. Ann Surg, 2012, 255(1):181-186.
11. 張定芳. 動靜脈內瘺100例圍術期護理[J]. 齊魯護理雜志, 2013, 19(1):91-92.
12. Jennings WC, Taubman KE. Alternative autogenous arteriovenous hemodialysis access options[J]. Semin Vasc Surg, 2011, 24(2):72-81.
13. 謝輝, 薛冠華, 施婭雪, 等. 橈動脈-肘正中靜脈交通支動靜脈內瘺術初步療效分析[J]. 中國中西醫結合腎病雜志, 2012, 13(7):597-599, 后插5.
14. 楊筱敏, 溫利平, 黃薔薇, 等. 維持性血液透析高位動靜脈內瘺常見并發癥及處理[J]. 現代中西醫結合雜志, 2008, 17(12):1874-1875.
15. 柏樹令, 應大君. 系統解剖學[M]. 北京:人民衛生出版社, 2005:252.
16. 包軍勝, 賈其磊, 岳中瑾, 等. 動靜脈內瘺術608例臨床應用體會[J]. 臨床外科雜志, 2009, 17(8):549-551.
17. 朱立仁, 呂國榮, 楊全, 等. 鈦輪釘建立血液透析動靜脈內瘺43例臨床分析[J]. 華西醫學, 2007, 22(3):613.
18. 李小庭, 王亞斌, 謝曉萍, 等. 以尺動脈-貴要靜脈為首選自體內瘺部位的探討[J]. 臨床腎臟病雜志, 2012, 12(12):534.

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Application of Arteriovenous Internal Fistula Plasty in Elbow in Hemodialysis

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