Comparison of clinical effect of different ways to construct arteriovenous graft in the upper arm
Objective To explore the clinical effects of two different ways(J-shaped across joints and C-shaped without crossing joints)to construct upper arm artificial vascular graft arteriovenous fistula(AVG).Methods The data of 29 patients with upper arm AVG who were admitted to Zhangzhou Hospital Affiliated to Fujian Medical University from January 2021 to September 2023 were collected.According to different methods of artificial blood vessel construction,they were divided into J-shaped cross-joint group(n=15)and C-shaped non-cross-joint group(n=14),and the patency rate and occurrence of complica-tions between the two groups are compared.Results The 1-year primary patency rate of the upper arm J-shaped cross-joint group was 80.0％,which was higher than the rate in C-shaped non-cross-joint group(42.9％);the 1-year re-intervention rate of the J-shaped cross-joint group was 20.0％,which was lower than the the rate in C-shaped non-cross-joint group(64.3％),the differences were statistically significant(both P＜0.05).The 1-year incidence rate of other complications in the upper arm J-shaped cross-joint group was 13.3％(one case of pseudoaneurysm,one seroma),and 14.3％in the C-shaped non-cross-joint group(two cases of pseudoaneurysm).The difference was not statistically significant(P＞0.05).Conclusion Upper arm J-shaped cross-joint AVG has a higher 1-year primary patency rate and lower 1-year re-intervention rate than C-shaped non-cross-joint AVG.The incidence of other complications(including infection,pseudoaneurysm,seroma,hemodi alysis access induced distal ischemia,and high-output heart failure)is similar between the two groups.
万方数据
维普
