Preoperative establishment and postoperative maintenance of vascular accesses for hemodialysis in kidney transplantation recipients
10.3760/cma.j.cn421203-20230914-00093
- VernacularTitle:肾移植受者移植术前血液透析用血管通路的建立及术后维护
- Author:
Hua CHEN
1
;
Xunan TONG
Author Information
1. 山西白求恩医院（山西医学科学院 同济山西医院），山西医科大学第三医院器官移植中心，太原 030032
- Keywords:
Kidney transplantation;
Blood purification;
Internal arteriovenous fistula;
Artificial blood vessel;
Hemodialysis;
Access
- From:
Chinese Journal of Organ Transplantation
2023;44(12):712-716
- CountryChina
- Language:Chinese
-
Abstract:
A vast majority of renal transplant recipients receive hemodialysis prior to kidney transplantation(KT). Currently the commonly employed blood purification accesses include non-cuffed catheter(NCC), tunnel-cuffed catheter(TCC), autologous arteriovenous fistula(AVF)and arteriovenous graft(AVG). And the above four accesses types have their inherent advantages and disadvantages.In clinical practices, patients of end-stage renal disease(ESRD)are selected by vascular status, disease severity and expected duration of dialysis.However, no standard recommendation is available for selecting hemodialysis accesses for patients awaiting KT.Summarizing the latest researches in the field, this review compared the advantages and disadvantages of various hemodialytic accesses in conjunctions with the clinical characteristics of patients awaiting KT.The goal was to resolve the choices of selecting and maintaining hemodialysis access for patients awaiting KT.
