Comparison of clinical application between lower and upper extremity arteriovenous grafts
Objective To compare the postoperative patency rate, dialytic adequacy and complications of lower/upper extremity arteriovenous grafts（AVGs）in hemodialysis patients to provide reference for establishing AVGs in lower extremities.Methods During April 2015 and April 2020,a retrospective review of extr...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | zho |
| Published: |
Editorial Department of Journal of Clinical Nephrology
2021-01-01
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| Series: | Linchuang shenzangbing zazhi |
| Subjects: | |
| Online Access: | http://www.lcszb.com/thesisDetails?columnId=57903570&Fpath=home&index=0 |
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| Summary: | Objective To compare the postoperative patency rate, dialytic adequacy and complications of lower/upper extremity arteriovenous grafts（AVGs）in hemodialysis patients to provide reference for establishing AVGs in lower extremities.Methods During April 2015 and April 2020,a retrospective review of extremity AVGs was performed for 47 hemodialysis（HD）patients.Clinical data, postoperative patency rate, dialytic adequacy and complications were analyzed.Results A total of 47 extremity AVGs were selected.The locations were lower（n=17）and upper（n=30）extremities.No significant inter-group difference existed in general data（P>0.05）.At Month 3/6/9/12,primary patency rates of lower extremity AVGs were 94.12%,76.47%,76.47% and 70.59% and assisted primary patency rates 94.12%,88.24%,88.24% and 82.35% respectively.And all secondary patency rates were 100.00%.The primary patency rates of upper extremity AVGs were 100.00%,96.67%,83.33% and 73.33%,assisted primary patency rates 100.00%,100.00%,90.00% and 80.00% and secondary patency rates 100.00%,100.00%,96.67% and 96.67% respectively（P<sub>1</sub>=0.231,P<sub>2</sub>=0.837,P<sub>3</sub>=0.833）.Dialytic adequacy was not significantly different between two groups（P>0.05）.The incidence of stenosis in lower extremity AVGs was higher than that in upper extremity AVGs（83.87% versus 60.71%,P<0.05）.Conclusion As an alternative site of AVG,the clinical efficacy of lower extremity AVG is similar to that of upper extremity. |
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| ISSN: | 1671-2390 |