Early use of the Gore-Tex(R) stretch graft

被引：5

作者：

Dawidson, IJA ^{[1
]}

ArRajab, A ^{[1
]}

Melone, LD ^{[1
]}

Poole, T ^{[1
]}

Griffin, D ^{[1
]}

Risser, R ^{[1
]}

机构：

[1] UNIV TEXAS,SW MED CTR,PARKLAND MEM HOSP,DEPT SURG,TRANSPLANT SECT,DALLAS,TX 75235

来源：

BLOOD PURIFICATION | 1996年 / 14卷 / 05期

关键词：

arteriovenous graft fistula; early cannulation; hemodialysis; graft function; polytetrafluoroethylene graft;

D O I：

10.1159/000170284

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This study reports firstly the overall outcome with the 4-7 mm tapered Gore-Tex(R) Stretch Vascular Graft and secondly the feasibility of early (<14 days) cannulation hemodialysis in 270 consecutive patients for first-time forearm loop placement. Ninety-six (36%) cases were cannulated within 14 days and 78 cases within 7 days. The overall results with the stretch graft are excellent. The statistically significantly worse outcome with early cannulation was mainly due to a select patient population (as determined by proportional hazards regression analysis) being more acutely ill, urgently needing hemodialysis and having no other options for needle puncture, A prospective randomized study, however, is warranted to fully resolve the safety issue of early cannulation.

引用

页码：337 / 344

页数：8