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首页> 外文期刊>International Journal of Research in Medical Sciences >Site selection for vascular access creation in hemodialysis in end stage renal disease
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Site selection for vascular access creation in hemodialysis in end stage renal disease

机译：终末期肾脏疾病血液透析中血管通路产生的部位选择

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Background: Chronic kidney failure is characterized with progressive and irreversible diminishing of glomerular filtration rate. AVF has been unanimously considered the gold standard vascular access of choice for hemodialysis. Arterio-venous fistula (AVF) for hemodialysis should be created in patients with endogenous creatinine clearance Methods: It was a prospective study, carried out in the dept. of surgery from April 2008 to August 2013. A total of 140 patients were studied over the period. The fistulae were created using radial artery cephalic vein side to side and brachial artery cephalic vein side to side or end to side anastomosis. Statistical analysis used: Mean, Standard deviation, Standard error. Results: A total 140 patients were studied, out of them 104 were males and 36 were females. The radiocephalic site was used for 82 (58.57%) patients and 58 (41.43%) patients were operated on brachiocephalic site. The mean inner diameter of radial artery, brachial artery and cephalic vein (intima to intima) at elbow and wrist were 21.49001 ± 0.901 (SE - 0.28492), 3.72533 ± 1.06837 (SE - 0.30841) and 0.68079 ± 0.49551 (SE - 0.116790) respectively. The mean flows velocity of brachial and radial artery were 76.10526 ± 4.54477 (SE - 1.04264) and 52.64286 ± 5.5968 (SE - 1.495810) respectively. The success rate of AV fistula on table was 97.85% (137 out of 140). The incidence of complication was 18.57%. Conclusion: The site for fistula creation depends on the quality of the artery and vein. To achieve good success rates preoperative color Doppler is essential to evaluate the vessels. The complication rates can be minimised by following standard operating protocols.
机译：背景：慢性肾衰竭的特征是肾小球滤过率的进行性和不可逆性降低。 AVF已被一致认为是血液透析首选的黄金标准血管通路。对于具有内源性肌酐清除率的患者，应建立动静脉瘘（AVF）进行血液透析。方法：这是一项前瞻性研究，在部门进行。从2008年4月至2013年8月进行手术。在此期间共研究了140例患者。瘘管使用radial动脉头颈静脉并排和肱动脉头静脉并排或端对侧吻合术制作。使用的统计分析：平均值，标准偏差，标准误差。结果：共研究了140例患者，其中男104例，女36例。放射头位用于82例（58.57％）患者，其中58例（41.43％）的患者在头臂位手术。肘部和腕部的radial动脉，肱动脉和头静脉（内膜至内膜）的平均内径分别为21.49001±0.901（SE-0.28492），3.72533±1.06837（SE-0.30841）和0.68079±0.49551（SE-0.116790） 。肱动脉和radial动脉的平均流速分别为76.10526±4.54477（SE-1.04264）和52.64286±5.5968（SE-1.495810）。桌上型AV瘘的成功率为97.85％（140例中有137例）。并发症发生率为18.57％。结论：造瘘的部位取决于动脉和静脉的质量。为了获得良好的成功率，术前彩色多普勒对评估血管至关重要。通过遵循标准的操作规程，可以将并发症发生率降至最低。

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