지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 1,266 - 1,272 (7page)
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초록· 키워드
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This single center cohort study aimed to test the hypothesis that use of a cryopreserved arterial allograft could avoid the maturation or healing process of a new vascular access and to evaluate the patency of this technique compared with that of vascular access using a prosthetic graft. Between April 2012 and March 2013, 20 patients underwent an upper arm vascular access using a cryopreserved arterial allograft for failed or failing vascular accesses and 53 using a prosthetic graft were included in this study. The mean duration of catheter dependence, calculated as the time interval from upper arm access placement to removal of the tunneled central catheter after successful cannulation of the access, was significantly longer for accesses using a prosthetic graft than a cryopreserved arterial allograft (34.4 ± 11.39 days vs. 4.9 ± 8.5 days, P < 0.001). In the allograft group, use of vascular access started within 7 days in 16 patients (80%), as soon as from the day of surgery in 10 patients. Primary (unassisted; P = 0.314) and cumulative (assisted; P = 0.673) access survivals were similar in the two groups. There were no postoperative complications related to the use of a cryopreserved iliac arterial allograft except for one patient who experienced wound hematoma. In conclusion, upper arm vascular access using a cryopreserved arterial allograft may permit immediate hemodialysis without the maturation or healing process, resulting in access survival comparable to that of an access using a prosthetic graft.
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Caroli A / 2013 / Validation of a patient-specific hemodynamic computational model for surgical planning of vascular access in hemodialysis patients / Kidney Int 84:1237~1245
Sidawy AN / 2008 / The Society for Vascular Surgery: clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access / J Vasc Surg 48:2S~25S
Long B / 2011 / Management of perianastomotic stenosis of direct wrist autogenous radial-cephalic arteriovenous accesses for dialysis / J Vasc Surg 53:108~114
Rooijens PP / 2004 / Radiocephalic wrist arteriovenous fistula for hemodialysis : meta-analysis indicates a high primary failure rate / Eur J Vasc Endovasc Surg 28:583~589
Roy-Chaudhury P / 2006 / Hemodialysis vascular access dysfunction : a cellular and molecular viewpoint / J Am Soc Nephrol 17:1112~1127
Sidawy AN / 2008 / The Society for Vascular Surgery: clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access / J Vasc Surg 48:2S~25S
Long B / 2011 / Management of perianastomotic stenosis of direct wrist autogenous radial-cephalic arteriovenous accesses for dialysis / J Vasc Surg 53:108~114
Rooijens PP / 2004 / Radiocephalic wrist arteriovenous fistula for hemodialysis : meta-analysis indicates a high primary failure rate / Eur J Vasc Endovasc Surg 28:583~589
Roy-Chaudhury P / 2006 / Hemodialysis vascular access dysfunction : a cellular and molecular viewpoint / J Am Soc Nephrol 17:1112~1127
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