The application of larger-bore autologous arteriovenous fistula as dialysis pathways in diabetes patients with chronic renal failure
10.3760/cma.j.issn.1674-6090.2010.03.015
- VernacularTitle:大口径自体动静脉内瘘在糖尿病慢性肾衰透析通路中的运用
- Author:
Mao ZHANG
;
Yu ZHAO
- Publication Type:Journal Article
- Keywords:
Autologous arteriovenous fistula;
Diabetes;
Chronic renal failure
- From:
Journal of Endocrine Surgery
2010;04(3):193-195
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe and discusses the application of larger-bore autologous arteriovenous fistula as dialysis pathways in diabetes patients with chronic renal failure. Methods 86 cases of diabetic patients with chronic renal failure were divided into elderly group and non-elderly group. The patients within each group were assigned randomly into Experimental subgroup and control subgroup. Patients underwent wrist autogenous arteriovenous fistula angioplasty.The surgical method was end to side anastomosis between cephalic vein and radial artery. Vertical incision on the radial artery is about 0.7 cm-0.8 cm in the control subgroup and vertical incision on the radial artery is about 1.0 cm-1.1cm in the experimental subgroup. Results The success rate of the operation in experimental subgroup(90.9%, 95.2%) was significantly higher than that of control group(77.3%, 85.7%). The differences were significant (P<0.05). There was no heart failure in the patients underwent surgery. Conclusions In diabetes patients with chronic renal failure need autogenous arteriovenous fistula angioplasty. Properly increasing the diameter of anastomosis can meet the demand on blood flow of hemodialysis without increase complication of heart failure.
