前臂头静脉转位与肱动脉吻合建立自体动静脉内瘘

褚志强

doi:10.3760/cma.j.issn.1007-631x.2013.10.029

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Journal article

前臂头静脉转位与肱动脉吻合建立自体动静脉内瘘

褚志强

Zhonghua putong waike zazhi25 Oct 2013

Journal articleFrom the research index

前臂头静脉转位与肱动脉吻合建立自体动静脉内瘘

褚志强 · Zhonghua putong waike zazhi · 25 Oct 2013

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自体动静脉内瘘(autogenou arteriovenous fistula,AVF)是长期血液透析(hemodialysis,HD)患者首选的血管通路.自体AVF的优势高于移植血管搭桥和长期中心静脉插管,静脉转位手术广泛应用于非常规AVF或常规AVF失去功能时[1-2].我们采用前臂头静脉转位与上臂肱动脉吻合建立AVF,并在转位过程中,将静脉浅表化,这样有利于血管穿刺,又有效利用了血管资源,此法在临床上未见报道.天津市第一中心医院2012年6-9月施行5例前臂头静脉转位与肱动脉吻合建立AVF,效果良好,现报道如下。