Applying theno-touch technique to venous dissection for the construction of the autogenous arteriovenous fistula in patients with maintenance hemodialysis

Studies have found that, the vascular injury caused by venous dissection during the construction of the autogenous arteriovenous fistula(AVF) in patients with maintenance hemodialysis(MHD) canresulted in venous intimal hyperplasia and stenosis of the AVF, by activating perivascular fibroblasts, init...

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Main Authors: LI Feng-lou, JIAO Zi-zhao, FU Hai-xia
Format: Article
Language:zho
Published: Editorial Department of Journal of Clinical Nephrology 2020-01-01
Series:Linchuang shenzangbing zazhi
Subjects:
Online Access:http://www.lcszb.com/thesisDetails?columnId=57907888&Fpath=home&index=0
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author LI Feng-lou
JIAO Zi-zhao
FU Hai-xia
author_facet LI Feng-lou
JIAO Zi-zhao
FU Hai-xia
author_sort LI Feng-lou
collection DOAJ
description Studies have found that, the vascular injury caused by venous dissection during the construction of the autogenous arteriovenous fistula(AVF) in patients with maintenance hemodialysis(MHD) canresulted in venous intimal hyperplasia and stenosis of the AVF, by activating perivascular fibroblasts, initiating the inflammatory response of the perivascular membrane and damaging the venous vasa vasorum, so as to lead to the dysfunction of the AVF. When applying the saphenous vein tothe coronary artery bypass surgery(CABG), Souza et alproposed the no-touch technique(NTT)for vein dissection. Comparing with the conventional technique(CT) for vein dissection, NTT can reduce the vascular injury caused by the process of vein dissection and improve the postoperative patency rate of the vein graft. In recent years, NTT has been applied to venous dissection for the construction of the AVF in MHD patients, thus to provide a novel surgical method for improving the postoperative patency rate of the AVF. This article will reviews the mechanism how NTT for venous dissection and construction of AVF canimprove the postoperative patency rate of the AVF.
format Article
id doaj-art-a97d8b0c20e44773885bc2464d1cb1f7
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issn 1671-2390
language zho
publishDate 2020-01-01
publisher Editorial Department of Journal of Clinical Nephrology
record_format Article
series Linchuang shenzangbing zazhi
spelling doaj-art-a97d8b0c20e44773885bc2464d1cb1f72025-08-20T03:09:25ZzhoEditorial Department of Journal of Clinical NephrologyLinchuang shenzangbing zazhi1671-23902020-01-012016517057907888Applying theno-touch technique to venous dissection for the construction of the autogenous arteriovenous fistula in patients with maintenance hemodialysisLI Feng-louJIAO Zi-zhaoFU Hai-xiaStudies have found that, the vascular injury caused by venous dissection during the construction of the autogenous arteriovenous fistula(AVF) in patients with maintenance hemodialysis(MHD) canresulted in venous intimal hyperplasia and stenosis of the AVF, by activating perivascular fibroblasts, initiating the inflammatory response of the perivascular membrane and damaging the venous vasa vasorum, so as to lead to the dysfunction of the AVF. When applying the saphenous vein tothe coronary artery bypass surgery(CABG), Souza et alproposed the no-touch technique(NTT)for vein dissection. Comparing with the conventional technique(CT) for vein dissection, NTT can reduce the vascular injury caused by the process of vein dissection and improve the postoperative patency rate of the vein graft. In recent years, NTT has been applied to venous dissection for the construction of the AVF in MHD patients, thus to provide a novel surgical method for improving the postoperative patency rate of the AVF. This article will reviews the mechanism how NTT for venous dissection and construction of AVF canimprove the postoperative patency rate of the AVF.http://www.lcszb.com/thesisDetails?columnId=57907888&Fpath=home&index=0No-touch techniqueVenous dissectionAutogenous arteriovenous fistulaMaintenance hemodialysis
spellingShingle LI Feng-lou
JIAO Zi-zhao
FU Hai-xia
Applying theno-touch technique to venous dissection for the construction of the autogenous arteriovenous fistula in patients with maintenance hemodialysis
Linchuang shenzangbing zazhi
No-touch technique
Venous dissection
Autogenous arteriovenous fistula
Maintenance hemodialysis
title Applying theno-touch technique to venous dissection for the construction of the autogenous arteriovenous fistula in patients with maintenance hemodialysis
title_full Applying theno-touch technique to venous dissection for the construction of the autogenous arteriovenous fistula in patients with maintenance hemodialysis
title_fullStr Applying theno-touch technique to venous dissection for the construction of the autogenous arteriovenous fistula in patients with maintenance hemodialysis
title_full_unstemmed Applying theno-touch technique to venous dissection for the construction of the autogenous arteriovenous fistula in patients with maintenance hemodialysis
title_short Applying theno-touch technique to venous dissection for the construction of the autogenous arteriovenous fistula in patients with maintenance hemodialysis
title_sort applying theno touch technique to venous dissection for the construction of the autogenous arteriovenous fistula in patients with maintenance hemodialysis
topic No-touch technique
Venous dissection
Autogenous arteriovenous fistula
Maintenance hemodialysis
url http://www.lcszb.com/thesisDetails?columnId=57907888&Fpath=home&index=0
work_keys_str_mv AT lifenglou applyingthenotouchtechniquetovenousdissectionfortheconstructionoftheautogenousarteriovenousfistulainpatientswithmaintenancehemodialysis
AT jiaozizhao applyingthenotouchtechniquetovenousdissectionfortheconstructionoftheautogenousarteriovenousfistulainpatientswithmaintenancehemodialysis
AT fuhaixia applyingthenotouchtechniquetovenousdissectionfortheconstructionoftheautogenousarteriovenousfistulainpatientswithmaintenancehemodialysis