THE GRACZ ARTERIOVENOUS-FISTULA EVALUATED - RESULTS OF THE BRACHIOCEPHALIC ELBOW FISTULA IN HEMODIALYSIS ANGIO-ACCESS

被引：24

作者：

BENDER, MHM ^{[1
]}

BRUYNINCKX, CMA ^{[1
]}

GERLAG, PGG ^{[1
]}

机构：

[1] ST JOSEPH HOSP,DEPT SURG,VELDHOVEN,NETHERLANDS

来源：

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY | 1995年 / 10卷 / 03期

关键词：

ARTERIOVENOUS SHUNT; HEMODIALYSIS; PATENCY ELBOW FISTULAS; GRACZ FISTULA;

D O I：

10.1016/S1078-5884(05)80045-0

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Objectives: To assess fistula patency and complication rates in braciocephalic elbow fistulas of both the Gracz and the side-to-side Configuration. Design: Retrospective clinical study. Methods: Life table patency and complications of 50 Gracz fistulas and 23 side-to-side elbow fistulas created between 1988 and 1993 were reviewed. Results: The cumulative patency for the elbow fistulas was 84% after 1 year and 78% after 3 years. No difference was found between the Gracz fistula and the side-to-side elbow fistula., Stenosis was the most frequent indication for revision and thrombosis was the moss frequent cause of fistula failure. Conclusion: The elbow fistula has a long patency with few complications and performs as well as wrist fistulas and better than the graft fistulas reported in the literature., The Gracz elbow fistula has results as good as the side-to-side elbow fistula. Graft fistulas should be reserved for tertiary procedures only.

引用

页码：294 / 297

页数：4

共 13 条

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