Application and nursing of artificial blood vessel fistula in hematodialysis

Ying YU, Yan-ming GE, Fang JIN, Jin-xin GAO

Abstract


Objective: To study the application of artificial blood vessels to build alternative standard arteriovenous fistula blood vessels for hemodialysis maintenance nursing. Methods: 17 cases of patients underwent artificial blood vessel transplantation, material for ptfe (PTEE), 30 cm in length, inner diameter 5mm, from 2012 to 2013 in Jinan military region general hospital. Artificial blood vessel transplantation is more operated on brachial vein, cephalic vein, median cubital vein and basilic vein. When the anastomosis among artificial blood vessels and brachial artery and vein anastomosis was established, the arterial end was on the inner side. When the anastomosis among brachial vein, median cubital vein and basilic vein was established, the arterial end was on the outside for the extension of vascular access. Results: 15 cases have hemodialysis after two months’ treatment, 1 case have artificial blood vessel fistula after swelling for 4 months, infection of thrombosis occurred one month after the operation in 1 case. Conclusion: Artificial blood vessel show good biocompatibility, high long-term patency rate, blood flow, and convenient puncture point. It builds the “lifeline” for the patients who are unable to establish a good vascular access. It is of great significance to improve the management of artificial blood vessel fistula for maintenance hemodialysis patients.

Keywords


Artificial blood vessels; Maintenance hemodialysis; Arteriovenous colostomy

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DOI: http://dx.doi.org/10.14725/gjsn.v1n2a582

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Global Journal of Surgery Nursing  

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