20 cases on arteriovenous fistula high clinical applications of
10.3760/cma.j.issn.1008-6315.2015.07.017
- VernacularTitle:高位动静脉内瘘术20例临床应用分析
- Author:
Qiang GU
;
Jun LIANG
- Publication Type:Journal Article
- Keywords:
High arteriovenous fistula;
Arm cephalic vein;
Brachial artery
- From:
Clinical Medicine of China
2015;31(7):630-631
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate an effective method of autologous arteriovenous fistula formation for the elderly uremic patients with diabetic nephropathy.Methods The nest in the elbow above the median cubital vein at the curved incision 1-2 cm,inline high Fistula,namely arm cephalic vein and brachial artery bifurcation of the upper portion of the distal radioulnar side anastomosis in 20 cases over 75 years elderly uremic patients with diabetic nephropathy.And compared the effect of 16 cases of patients with similar conventional fistula.Results Twenty cases over 75 years elderly uremic patients with diabetic nephropathy were successful in all high dynamic fistula intravenous,blood flow was (1 007±131) ml/m,the immediate opening rate of 16 patients similar to conventional instant fistula was 12.5％,and a year after the opening rate was 6.25％ Conclusion High fistula are more easy to shape conventional,easy mature,full blood flow characteristics comparing with commom fistula,so elderly uremic patients with diabetic nephropathy fistula making difficult situation has been effectively improved.
