Optimization of the permanent vascular access for hemodialysis formation
Abstract
The article analyzes the main causes of arteriovenous fistula thrombosis in the early postoperative period in patients with terminal CKD. Surgical treatment was performed on 24 patients, who were divided into 2 groups. In the study group, the authors used the method of forming an arteriovenous fistula on the forearm. Besides, during the operation, was used device “surgical hand retainer”. The other group used a standard operating procedure. In the postoperative period, the “device for fixing the bandage” was used. When using the proposed method of forming anastomosis and the brush retainer, there was a decrease in the operation time and better postoperative results.
About the Authors
E. P. KrivoshchekovRussian Federation
Samara
G. S. Alyapyshev
Russian Federation
Ulyanovsk
A. V. Poseryaev
Russian Federation
Ulyanovsk
V. A. Prutskov
Russian Federation
Ulyanovsk
E. B. Elshin
Russian Federation
Samara
V. E. Romanov
Russian Federation
Samara
References
1. Борота А. В., Гринцов А. Г., Христуленко А. А. и др. Ошибки и опасности при формировании сосудистого доступа для проведения гемодиализа // Вестник неотложной и восстановительной медицины. 2012. Т. 13, № 3. С. 331–332.
2. Пашин С. В., Иванов А. В., Еськов В. П. и др. Опыт наложения артериовенозных фистул с целью проведения программного гемодиализа // Научно-медицинский вестник Центрального Черноземья. 2007. № 29. С. 149–152.
3. Kosa S. D., Al-Jaishi A. A., Moist L. et al. Preoperative vascular access evaluation for haemodialysis patients // Cochrane Database of Systematic Review. 2015. № 9. Art. No.: CD007013.
4. Farber A., Imrey P. B., Huber T. S. et al. Multiple preoperative and intraoperative factors predict early fistula thrombosis in the Hemodialysis Fistula Maturation Study // Journal of Vascular Surgery. 2016. Vol. 63, № 1. P. 163–170.
5. Hossny A. Brachiobasilic arteriovenous fistula: different surgical techniques and their effects on fistula patency and dialysis-related complications // Journal of Vascular Surgery. 2003. Vol. 37, № 4. P. 821–826.
6. Arnold W. P. Improvement in hemodialysis vascular access outcomes in a dedicated access center // Seminars in Dialysis. 2000. Vol. 13, № 6. P. 359–363.
7. Glanz S. Opinion: what can be done to preserve vascular access for dialysis? // Seminars in Dialysis. 1991. Vol. 4. P. 157–158.
Review
For citations:
Krivoshchekov E.P., Alyapyshev G.S., Poseryaev A.V., Prutskov V.A., Elshin E.B., Romanov V.E. Optimization of the permanent vascular access for hemodialysis formation. Title in english. 2020;15(1):14-16. (In Russ.)