聆听论文。 为透析血管通路相关医务人员而设。

Randomized Controlled Study of Sirolimus-Coated Balloons for Dysfunctional Hemodialysis Fistulas

Chieh Suai Tan et al.

Kidney International Reports

西罗莫司涂层球囊治疗血透动静脉内瘘功能障碍,6个月通畅率显著优于普通球囊(70.1% vs 56.7%)。短期安全性良好。12个月通畅率差异在意向性分析中无统计学意义,但符合方案分析中仍有显著性。多发狭窄患者同样获益。

Pharmacological interventions for pain management during arteriovenous fistula puncture in adults and adolescents undergoing maintenance haemodialysis: a systematic review

Abdul Rehman Arshad et al.

Renal Replacement Therapy

冰敷和EMLA霜可有效减轻血液透析患者动静脉瘘穿刺疼痛。冰敷优于EMLA霜,EMLA霜优于吡罗昔康和利多卡因喷雾。现有证据质量有限,存在偏倚风险。

The role of heparin in preventing early thrombosis of arteriovenous fistula for hemodialysis: An observational Study

Aandrei Jivendra Jha et al.

Bioinformation

术中使用肝素可显著降低血液透析动静脉瘘早期血栓形成率。肝素组30天内血栓发生率为11%,而非肝素组为25%。较小的静脉直径是独立危险因素。轻微出血增加但无严重出血事件。

Retrograde Flow Into the Internal Jugular Vein in a Hemodialysis Patient Mimicking Dural Arteriovenous Fistula: A Case Report

Eri Shiozaki et al.

Cureus

透析患者因颈静脉逆流在MRI上呈现类似硬脑膜动静脉瘘的高信号。动脉自旋标记和磁共振血管成像可检测此现象。数字减影血管造影可明确诊断。颈静脉瓣功能障碍是主要原因。高流量动静脉瘘可致颅内高压风险。

The Single Cell Landscape of the Human Vein After Arteriovenous Fistula Creation and Implications for Maturation Failure

Laisel Martinez et al.

Paperfy Demo

静脉与动脉吻合后,炎症驱动早期适应。细胞外基质沉积超过细胞增殖。血管壁愈合由成纤维细胞主导。血管成熟失败与持续炎症相关。内皮细胞、巨噬细胞和成纤维细胞形成炎症枢纽。

Optimizing Clinical Nursing Interventions for Hemodialysis Patients with Arteriovenous Fistula

Vasiliki Michou

Kidney and Dialysis

护士教育和上肢锻炼方案可改善血透患者动静脉瘘成熟。教育培训显著提升护士临床能力,降低瘘管并发症。握拳和等长运动增加血流量和血管直径。标准化护理流程延长瘘管使用寿命。持续监测和患者教育至关重要。