Superficialization of autologous vascular access: an alternative to the use of vascular prostheses and permanent catheters

被引：0
作者：
Arenas, M. D. [1 ]
Gil, M. T. [1 ]
Malek, T. [1 ]
Moledous, A. [1 ]
Nunez, C. [1 ]
Lopez-Collado, M. [2 ]
机构：
[1] Hosp Perpetuo Socorro, Serv Nefrol, Alicante, Spain
[2] Hosp Perpetuo Socorro, Serv Cirugia Vasc, Alicante, Spain
来源：
NEFROLOGIA | 2009年 / 29卷 / 01期
关键词：
Autologous veins superficialization; Vascular access; Hemodialysis; ARTERIOVENOUS-FISTULA; HEMODIALYSIS-PATIENTS; DIALYSIS OUTCOMES; BASILIC VEIN; GRAFTS; TRANSPOSITION; MORTALITY;
D O I：
暂无
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
Introduction: We review our experience with autologous veins Superficialization (Spf), to establish the actual possibilities of this kind of vascular access in our area. Methods: Between January/2001 and January/2008, Spf was performed in 48 patients. Mean follow-up time was 18.8 (0.2-75.7) months. Primary failure rate was recorded; primary and secondary permeability were estimated using the Kaplan-Meier method; and its possible associations with several variables were analyzed. Results: the maturity rate was 97,9%; and the rate of primary failure 2,0%. After Spf, mean time of primary and secondary permeability were 65 months and 67months, respectively. Four vascular thrombosis were observed. None of the presurgery variables analyzed (age; sex; diabetes mellitus; ipsilateral central catheter; the number of previous VA attempts; and obesity; were significantly associated with maturity rate, primary or secondary permeabilities. Conclusion: the Spf can be a good option alternative to the use of prosthetic grafts or permanent central vascular catheters.
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页码：67 / 70
页数：4
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