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題 名 | Arteriovenous Fistula Using Superficialized Basilic Vein in Chronic Hypotensive Hemodialysis Patients=動靜脈廔管合併貴要靜脈表淺化在尿毒症合併低血壓病患之臨床經驗 |
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作 者 | 蔡宜廷; 林石化; 李國楨; 洪國峻; 羅時鴻; 林裕峰; 蔡建松; | 書刊名 | 醫學研究 |
卷 期 | 21:4 2001.08[民90.08] |
頁 次 | 頁207-212 |
分類號 | 415.816 |
關鍵詞 | 動靜脈廔管; 貴要靜脈表淺化; 尿毒症; 低血壓; Arteriovenous fistula; Hemodialysis; Hypotension; Transposed basilic vein; |
語 文 | 英文(English) |
英文摘要 | BACRGROUND: Chronic hypotension is common in uremic patients on regular hemodialysis. This subset of patients often require multiple operations to maintain their vascular access due to frequent thrombosis and occlusion of the arteriovenous fistula. OBJECTIVE: To assess whether surgical intervention with the brachial artery-transposed basilica vein arteriovenous fistula is effective in chronic hypotensive hemodialysis patients. PATIENTS AND METHODS: Fifty-four patients with chronic hypotensive hemodialysis were enrolled in this study. Most of them were referred from local hospitals. They were twenty-three men and thirty-one women. Among them, thirty-six patients were diabetes mellitus. The brachial artery-transposed basilica vein arteriovenous fistula was performed in a period of forty-six months at the teaching Hospital. Primary patency was defined as the length of time from the fistula creation until the development of thrombosis or a complication that required operative revision of the fistula. If the fistula could be salvaged by revision such that blood flow was maintained through the fistula, then the secondary patency was defined. RESULTS: here were no technical failure and none of these patients died due to the surgical operation. The primary patency rate was 89.80% at one year, 73.08% at two years, and 64.71% at three years. The secondary patency rate was 95.92% at one year, 84.62% at two years, and 76.47% at three years. CONCLUSIONS: Brachial artery-transposed basilica vein arteriovenous fistula may be a good secondary alternative vascular access in the chronic hypotensive hemodialysis patients. |
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