Establishing a hemodialysis vascular access with autologous vein transplantation

doi:10.3969/j.issn.2095-4344.2014.46.019

Abstract

Abstract:

BACKGROUND: Currently, literatures about autologous vein transplantation are few, and the research on the effect of different parts of autologous vein transplantation are not found yet.

OBJECTIVE: To summarize the experiences of establishing the fistula using autologous vein transplantation so as to investigate the method of improving the success rate of surgery.

METHODS: We analyzed retrospectively the data of 40 cases of establishing the fistula using autologous vein transplantation, and then compared the successful rate of autologous vein transplantation fistula, blood flow and operating time, thereby analyzing the influence of diabetes mellitus on the successful rate of autologous vein transplantation fistula.

RESULTS AND CONCLUSION: The successful rates of autologous vein transplantation fistula at different parts ranging from high to low were as follows: the cephalic vein, great saphenous vein, basilic vein and small saphenous vein. Blood flow of the upper limb for vein transplantation fistula was obviously higher than that of the lower limb (P < 0.05). The operating time of autologous vein transplantation fistula was longer in the upper limbs than in the lower limbs (P < 0.01). For patients with diabetes mellitus, the successful rate of autologous vein transplantation was markedly lower than those with no diabetes mellitus (P < 0.01). For the hemodialysis patients with poor upper limb superficial vein, autologous vein transplantation is a better way of establishing the vascular access. Vein transplantation of the upper limbs is better than that of the lower limbs in success rate and operating time. Autologous vein transplantation fistula is not suitable for the patients with diabetes mellitus.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

全文链接：

Key words: hemodiafiltration, vascular grafting, arteriovenous fistula

CLC Number:

R318

Zhang Fan, Wang Tao, Wu Xiao-bo, Zhu Jun, Cheng Yue, Mo Li-wen. Establishing a hemodialysis vascular access with autologous vein transplantation [J]. Chinese Journal of Tissue Engineering Research, 2014, 18(46): 7472-7476.

Figures/Tables 3

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