지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.1
- 수록면
- 51 - 54 (4page)
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Purpose: Failure of hemodialysis access is the main medical problem in chronic renal failure patients. This resulted from complications such as thrombosis, infection, pseudoaneurysm, steal syndrome and so on. This study was undertaken in an attempt to describe the clinical characteristics and significances of dialysis failure due to iatrogenic fistula between prosthetic graft and native vein at puncture site.
Methods: During 5 years between Feb. 2005 and Feb. 2009, five Iatrogenic fistulas were identified in a retrospective review of 133 patients performed 220 times fistulography due to dialysis failure in PTFE (polytetrafluoroethylene) graft.
Results: Overall incidence is 3.8 % in PTFE graft cases. Mean age is 50 (28~75) years, male to female ratio 2：3. Median 1st patency period is 20 months (6~36). All iatrogenic fistula is usually located in not venous but arterial limb of forearm loop, combined with the stenosis in venous limb and anastomosis site. More than 70% venous anastmotic stenosis in 4 cases (80%) and diffuse stenosis of venous limb in 3 cases (60%), revised concomitantly either by patch angioplasty or ballooning. Medial follow-up period is 8 months (5~12), graft occlusion occurred in one case.
Conclusion: All iatrogenic fistula usually occurs in not venous but arterial limb of forearm loop graft. Most iatrogenic fistula is combined with the stenosis in venous limb and anastomosis sites, must be revised concomitantly either by patch angioplasty or ballooning. Close assessment to superficial vein and graft is needed for early detection. Fistulography is the most useful diagnostic tool. Careful cannulation method is required to prevent the occurrence of iatrogenic fistula in chronic renal failure patients.
Methods: During 5 years between Feb. 2005 and Feb. 2009, five Iatrogenic fistulas were identified in a retrospective review of 133 patients performed 220 times fistulography due to dialysis failure in PTFE (polytetrafluoroethylene) graft.
Results: Overall incidence is 3.8 % in PTFE graft cases. Mean age is 50 (28~75) years, male to female ratio 2：3. Median 1st patency period is 20 months (6~36). All iatrogenic fistula is usually located in not venous but arterial limb of forearm loop, combined with the stenosis in venous limb and anastomosis site. More than 70% venous anastmotic stenosis in 4 cases (80%) and diffuse stenosis of venous limb in 3 cases (60%), revised concomitantly either by patch angioplasty or ballooning. Medial follow-up period is 8 months (5~12), graft occlusion occurred in one case.
Conclusion: All iatrogenic fistula usually occurs in not venous but arterial limb of forearm loop graft. Most iatrogenic fistula is combined with the stenosis in venous limb and anastomosis sites, must be revised concomitantly either by patch angioplasty or ballooning. Close assessment to superficial vein and graft is needed for early detection. Fistulography is the most useful diagnostic tool. Careful cannulation method is required to prevent the occurrence of iatrogenic fistula in chronic renal failure patients.
목차
서론
방법
결과
고찰
REFERENCES
참고문헌 (5)
참고문헌 신청
1. [학술지(정기간행물)] - You YK / 1991 / Clinical experience of PTEF (polytetrafluoroethylene) graft A-V fistula for hemodialysis of chronic renal failure patient / J Korean Surg Soc 41 : 345 ~ 351
2. [단행본] - Wilson SE / 1996 / Complications of vascular access procedures. In Vascular Access: Principles and Practice. 3rd ed. / Mosby : 189 ~ 203
3. [학술지(정기간행물)] - III / 2001 / NKF-K/DOQI clinical practice guidelines for vascular access: update 2000 / Am J Kidney Dis 37 : S137 ~ 181
4. [학술지(정기간행물)] - Min SK / 2004 / Iatrogenic fistula between prosthetic haemodialysis access graft and autogenous vein: unusual cause of graft thrombosis / Nephrol Dial Transplant 19 : 2647 ~ 2649
5. [단행본] - Davidson IJA / 2002 / Access for Dialysis: Surgical and Radiologic Procedures. 2nd ed / Landes Bioscience
2. [단행본] - Wilson SE / 1996 / Complications of vascular access procedures. In Vascular Access: Principles and Practice. 3rd ed. / Mosby : 189 ~ 203
3. [학술지(정기간행물)] - III / 2001 / NKF-K/DOQI clinical practice guidelines for vascular access: update 2000 / Am J Kidney Dis 37 : S137 ~ 181
4. [학술지(정기간행물)] - Min SK / 2004 / Iatrogenic fistula between prosthetic haemodialysis access graft and autogenous vein: unusual cause of graft thrombosis / Nephrol Dial Transplant 19 : 2647 ~ 2649
5. [단행본] - Davidson IJA / 2002 / Access for Dialysis: Surgical and Radiologic Procedures. 2nd ed / Landes Bioscience
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UCI(KEPA) : I410-ECN-0101-2013-514-002680228