单位:[1]Department of Nephrology, Tongji Hospital of Tongji medical college of Huazhong University of Science and Technology, Wuhan, China.内科学系肾病内科华中科技大学同济医学院附属同济医院[2]Department of Hematology and Nephropathy, Xishui People's Hospital, Huanggang City, China.
High-flow vascular access is one of the serious complications in the maturation and subsequent use of arteriovenous fistula (AVF). We adopted a novel surgical approach named no incision limited ligation indwelling needle assisted- revision (NILLINR) to treat high-flow of the hemodialysis vascular access and ascertained the outcomes by regular follow-up visits.This is a retrospective study. 26 hemodialysis patients with symptomatic high-flow access (access flow > 1500 mL/min) were treated with the novel banding method without incision between June 2018 and October 2020. The flow of the brachial artery before and after the restriction was measured by experienced clinicians by using the duplex Doppler ultrasound (DUS). All 26 patients were followed up for up to 1 year. Meanwhile, the brachial artery flow was recorded at 6 months and 1 year after restriction.Of all 26 patients included in this study, the mean access flow volume decreased from 2196.2 ± 416.9 mL/min (mean ± SD) to 679.2 ± 67.1 mL/min immediately after the operation. During the follow-up, the volume flow of the brachial artery was still within the restricted range at 6 months (mean ± SD, 720.2 ± 164.7 mL/min) and 1 year (mean ± SD, 713.9 ± 173.8 mL/min) after the operation. Meanwhile, the mean duration of the operation is 8.5 ± 3.3 min, and there is no bleeding or rupture.This novel no-incision limited ligation indwelling needle-assisted revision is a safe, effective, and time-saving option to treat high-flow access.
基金:
[National Natural Science
Foundation of China] under Grant [81974089] and Grant
[81800611], the [Natural Science Foundation of Hubei
Province] under Grant [2019CFB675], and the [Frontier
Application Basic Project of the Wuhan Science and
Technology Bureau] under Grant [2020020601012235].
第一作者单位:[1]Department of Nephrology, Tongji Hospital of Tongji medical college of Huazhong University of Science and Technology, Wuhan, China.
共同第一作者:
通讯作者:
通讯机构:[1]Department of Nephrology, Tongji Hospital of Tongji medical college of Huazhong University of Science and Technology, Wuhan, China.[*1]Department of Nephrology, Tongji Hospital of Tongji medical college of Huazhong University of Science and Technology, Jiefang Avenue. 1095, 430030, Wuhan, Hubei Province, China
推荐引用方式(GB/T 7714):
Wang Yanan,Li Jin,Liu Wenjun,et al.An ultrasound-guided no incision banding method for the treatment of arteriovenous fistula high-flow in hemodialysis[J].RENAL FAILURE.2023,45(1):doi:10.1080/0886022X.2023.2222853.
APA:
Wang Yanan,Li Jin,Liu Wenjun,Zhang Ying,Li Qing&He Fan.(2023).An ultrasound-guided no incision banding method for the treatment of arteriovenous fistula high-flow in hemodialysis.RENAL FAILURE,45,(1)
MLA:
Wang Yanan,et al."An ultrasound-guided no incision banding method for the treatment of arteriovenous fistula high-flow in hemodialysis".RENAL FAILURE 45..1(2023)