Clinical use of the ulnar-basilic arteriovenous fistula as a long-term vascular access in patients with hemodialysis
10.3760/cma.j.issn.1008-6315.2017.04.011
- VernacularTitle:腕部尺动脉-贵要静脉内瘘作为血液透析患者长期血管通路的临床应用价值
- Author:
Yanan ZHEN
;
Peng LIU
;
Yuguang YANG
;
Songyi QIAN
;
Xueqiang FAN
;
Fan LIN
- Keywords:
Hemodialysis;
Arteriovenous fistula;
Ulnar-basilic arteriovenous fistula
- From:
Clinical Medicine of China
2017;33(4):334-337
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical use of the ulnar-basilic arteriovenous fistula as a long-term vascular access in patients with hemodialysis.Methods The clinical data of 36 patients with 1-year follow-up who had a wrist ulnar-basilic arteriovenous fistula formed in China-Japan Friendship Hospital from January 2013 and December 2014 were retrospectively analyzed.The outcomes for this study including the surgical results,complication rate of ulnar-basilic arteriovenous fistula,immediate patency rate,average maturation time,1-year primary patency rate and true patency rate were analyzed.Results Thirty-four cases patients got successful ulnar-basilic arteriovenous fistula formed with palpable vascular thrill.There were no death cases and no severe cardio-cerebrovascular complications.No infection,heart failure,distal swelling and ischemia occurred.The immediate patency of ulnar-basilic arteriovenous fistula was 94.4%(34/36),the average maturation time was (67±4) d,1-year primary patency rate was 63.9%(23/36),and true patency rate was 67.6%(24/36).Conclusion Ulnar-basilic arteriovenous fistula with adequate 1-year primary patency and low risk of infection and complications can be a viable alternative as the hemodialysis vascular access.
