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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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.	张定芳. 动静脉内瘘100例围术期护理[J]. 齐鲁护理杂志, 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.	谢辉, 薛冠华, 施娅雪, 等. 桡动脉-肘正中静脉交通支动静脉内瘘术初步疗效分析[J]. 中国中西医结合肾病杂志, 2012, 13(7):597-599, 后插5.
14.	杨筱敏, 温利平, 黄蔷薇, 等. 维持性血液透析高位动静脉内瘘常见并发症及处理[J]. 现代中西医结合杂志, 2008, 17(12):1874-1875.
15.	柏树令, 应大君. 系统解剖学[M]. 北京:人民卫生出版社, 2005:252.
16.	包军胜, 贾其磊, 岳中瑾, 等. 动静脉内瘘术608例临床应用体会[J]. 临床外科杂志, 2009, 17(8):549-551.
17.	朱立仁, 吕国荣, 杨全, 等. 钛轮钉建立血液透析动静脉内瘘43例临床分析[J]. 华西医学, 2007, 22(3):613.
18.	李小庭, 王亚斌, 谢晓萍, 等. 以尺动脉-贵要静脉为首选自体内瘘部位的探讨[J]. 临床肾脏病杂志, 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. 叶文玲, 方理刚, 马杰, 等. 长期动静脉内瘘对非糖尿病肾病血液透析患者心脏结构和功能的影响[J]. 中国医学科学院学报, 2013, 35(1):95-101.
6. 曾蕾, 庞雅君, 庞新华, 等. 血液透析5年以上成人患者AVF血流量影响因素调查分析[J]. 白求恩军医学院学报, 2013, 11(3):227-228.
7. 钟伟强, 杨铁城, 余林权, 等. 同种异体血管和人造血管移植制作动静脉内瘘的临床研究[J]. 中华显微外科杂志, 2004, 27(2):149-151.
8. 叶朝阳, 袁志忠, 嵇爱琴, 等. 长期留置导管在维持性血液透析患者的应用与随访[J]. 中华肾脏病杂志, 2001, 17(5):342-343.
9. 曾文彤, 何春水, 戴迪, 等. 利用桡动脉起始部建立肘部自体动静脉内瘘[J]. 重庆医学, 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. 张定芳. 动静脉内瘘100例围术期护理[J]. 齐鲁护理杂志, 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. 谢辉, 薛冠华, 施娅雪, 等. 桡动脉-肘正中静脉交通支动静脉内瘘术初步疗效分析[J]. 中国中西医结合肾病杂志, 2012, 13(7):597-599, 后插5.
14. 杨筱敏, 温利平, 黄蔷薇, 等. 维持性血液透析高位动静脉内瘘常见并发症及处理[J]. 现代中西医结合杂志, 2008, 17(12):1874-1875.
15. 柏树令, 应大君. 系统解剖学[M]. 北京:人民卫生出版社, 2005:252.
16. 包军胜, 贾其磊, 岳中瑾, 等. 动静脉内瘘术608例临床应用体会[J]. 临床外科杂志, 2009, 17(8):549-551.
17. 朱立仁, 吕国荣, 杨全, 等. 钛轮钉建立血液透析动静脉内瘘43例临床分析[J]. 华西医学, 2007, 22(3):613.
18. 李小庭, 王亚斌, 谢晓萍, 等. 以尺动脉-贵要静脉为首选自体内瘘部位的探讨[J]. 临床肾脏病杂志, 2012, 12(12):534.

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