自体动静脉内瘘成形术（Autogenous arteriovenous fistula）.docVIP

自体动静脉内瘘成形术（Autogenous arteriovenous fistula） Autogenous arteriovenous fistula B to add the item? directory an 1 definition and overview 2. Indications and contraindications 2.1 indications 2.2 contraindicated The qualification and operating environment of the operation 4 preoperative evaluation 4.1 vascular conditions 4.2 surgical site 4.3 vascular anastomosis 5 operation steps 6 postoperative treatment Mature and use of internal fistula Complications and treatment 8.1 blood clots 8.2 the infection 8.3 angiostricture 8.4 heart failure 8.5 swelling hand syndrome 8.6 blood - theft syndrome Definitions and overview Autogenous arteriovenous fistula is guided by surgery, in patients with peripheral artery and superficial vein, makes the arterial blood flow to the superficial vein, to fulfill the requirements of hemodialysis blood flow to the required, and facilitate vascular puncture, thus establishing hemodialysis extracorporeal circulation. Indications and contraindications indications Autologous arteriovenous fistula is suitable for patients with chronic renal failure requiring prolonged hemodialysis. (1) the glomerular filtration rate of patients with chronic renal failure 25ml/min or serum creatinine 4mg/dl (352 mu/L) should be considered for the implementation of autogenous venous fistula. (2) patients with old age, diabetes, systemic lupus erythematosus and other patients with incomplete organ dysfunction should be implemented as early as possible. contraindicated (1) severe stenosis of the proximal vein or central vein of the extremities of the extremities or central vein, or the influence of adjacent lesions on venous reflux. (2) the patient forearm ALLEN tested positive and prohibited the anastomosis of fistula in the forearm vein. contraindicated (1) patients were expected to live less than 3 months. (2) the cardiovascular condition was not stable, and the heart failure did not control patients with hypotension. (3) the operative site was infected. (4) cardi