A new dialysis route option for uremic patients
In February 2009, the Department of Vascular Surgery of Chifeng Hospital successfully performed forearm arteriovenous prosthesis for a 68-year-old female patient with advanced uremia in the Department of Nephrology, successfully solving the patient’s dialysis problem. Dang Yongkang, Department of Vascular Surgery, Chifeng Hospital
The patient came to our department because of the problem of insufficient blockage flow after radial artery fistula. After thorough consultation with the family, it was decided to perform arteriovenous fistula with left forearm artificial vessel implantation. The patient’s brachial artery was fully exposed and anastomosed with the artificial vessel before the other end of the artificial vessel was buried under the skin and anastomosed with the median vein of the elbow. The operation was successful and the swelling of the affected limb disappeared after 3 months, and the patient was able to use it for dialysis treatment with good results after 2 months of use.
The forearm arteriovenous prosthesis has successfully solved the problem of dialysis access for patients with advanced uremia. The patient’s vascular puncture during dialysis is simple and painful, and the prosthesis can be used repeatedly, but the prosthesis is more expensive.
Dang Yongkang, Department of Vascular Surgery, Chifeng Hospital, Zhao Haitao, Guo Jianquan, Bao Yongtao
2009/7/19