THE RESULTS OF DENATURED HOMOLOGOUS VEIN GRAFTS AS CONDUITS FOR SECONDARY HEMODIALYSIS ACCESS SURGERY

被引：15

作者：

HEINTJES, RJ ^{[1
]}

EIKELBOOM, BC ^{[1
]}

STEIJLING, JJF ^{[1
]}

DORTLAND, RWHV ^{[1
]}

VANDERHEIJDEN, FHWM ^{[1
]}

BASTINI, M ^{[1
]}

VANDERGRAAF, Y ^{[1
]}

BLANKESTIJN, PJ ^{[1
]}

VOS, J ^{[1
]}

机构：

[1] UNIV UTRECHT HOSP,DEPT SURG,VASC SURG SECT,3508 GA UTRECHT,NETHERLANDS

来源：

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY | 1995年 / 9卷 / 01期

关键词：

HEMODIALYSIS; VASCULAR ACCESS; SECONDARY VASCULAR ACCESS; HOMOLOGOUS VEIN; VARIOUS; SECONDARY ACCESS SURGERY;

D O I：

10.1016/S1078-5884(05)80226-6

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Objectives: To determine the value of denatured homologous vein grafts as a conduit for secondary haemodialysis access. Design: Retrospective clinical study. Setting: 2 University Hospitals. Materials and Methods: One-hundred-and-twenty-five patients received 195 grafts over a period of five years. Fifty-six first grafts (45%) functioned without complications throughout the study period of 5.8 years. Main Results: Primary patency was 57% after 1 year and 25% after 3 years of follow-up. Of the initial grafts, 69 (55%) needed 161 interventions, for thrombosis (n = 59), stenosis (n = 43), failure beyond repair (n = 40), aneurysm (n = 12), infection (n = 4), steal syndrome (n = 1), and other causes (n = 2). Secondary patency was 76% at 1 year and 52% at 3 years of follow-up. A major advantage of these grafts was the low rate (2.6%) of infection. Aneurysm formation occurred 17 times in 195 grafts (8.7%). Conclusions: Denatured homologous vein graft is a good alternative in secondary access surgery.

引用

页码：58 / 63

页数：6

共 25 条

[1]

Stichting Renine, (1992)

[2]

Brescia, Cimino, Appel, Hurwich, Chronic haemodialysis using venipuncture and a surgically created arteriovenous fistula, N Engl J Med, 275, (1966)

[3]

Tordoir, Kwan, Herman, Carol, Jakimowicz, Primary and secondary access surgery for haemodialysis with the Brescia-Cimino fistula and the polytetrafluoroethylene (PTFE) graft, Neth J Surg, 35, pp. 8-12, (1983)

[4]

Eikelboom, Which material should be used in secondary haemodialysis access surgery, Eur J Vasc Surg, 2, pp. 1-2, (1988)

[5]

Cerilli, Limbert, Technique and results of the construction of arteriovenous fistulas for haemodialysis, Surg Gynecol Obstet, 137, pp. 922-924, (1973)

[6]

Kinnaert, Vereestraeten, Toussaint, Geertuyden, Nine years experience with internal arteriovenous fistulas for haemodialysis

[7]

a study of some factors influencing results, Br J Surg, 64, pp. 242-246, (1977)

[8]

Maselot, Bonnaud, Ciancioni, Claude, Zingraff, Crosnier, Blood access in haemodialysis: Long term results, Proc EDTA, 14, pp. 633-634, (1977)

[9]

Hoffman, Roggo, Duff, Simmen, Brunner, Welches sind die Vorteile einer neuen, homologen Gefäßprothese? Eine vorläufige Standort-Bestimmung, Angio Archiv Bd, 23, pp. 52-56, (1992)

[10]

Bonnaud, Messier, Man, Manufactured homologous vein grafts for creation of arterio-venous fistula, Proc EDTA, 17, pp. 303-305, (1980)

← 1 2 3 →