Comparison of dialsyis adequacy and access-related complication of native arteriovenous fistula and cuffed and tunneled catheter
Objective To compare the dialsyis adequacy and access-related complication of native arteriovenous fistula and cuffed and tunneled catheter, and try to find out an iedal vascular access approach. Methods Patients who underwent an operation of long-term hemodialysis access between Jan. 2011 and Apr. 2012 were inrolled in this study. Kt/V and the morgidity of access -related complications were evaluated and compared in a follow-up period of 12-28 months between patients using vascular access of native arteriovenous fistula(AVF) and patients of cuffed and tunneled catherte(CTC) in an internal jugular vein. Results In the 67 maintenance hemodialysis patients, 41 cases were used native AVF and 26 cases used CTC as the long-term vascular access for hemodialysis. Compared with CTC group, the patients of native AVF group were yonhger and had lower infection rate(P<0.05). Kt/V value was more than 1.2 in both groups, but was higher in native AVF group, compared with that of CTC group(P<0.05). Conclusion Patients using native AVF for hemodialysis were younger and had lower rate of infection. Native AVF is preferable for long-term vasvular access. With relatively satisfactory effect of dialysis, CTC can also be chosen when native AVF is difficult to be established.
NETL
NSTL
万方数据
维普
