Chinese Journal of Blood Purification ›› 2024, Vol. 23 ›› Issue (12): 938-942.doi: 10.3969/j.issn.1671-4091.2024.12.012

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Evidence summary for the management of autologous arteriovenous fistula stenosis after interventional therapy

LIU Wang-xing, SHEN Wei, LUO Xun, SHI Wen-jian, PENG Xue-ling, XIE Ping, LIU Dong-ling, HU Zheng-zhong, LI Xin   

  1. Blood Purification Center, 2Department of Nephrology, 3Disinfection Supply Center, and 4Operating Theatre, Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha 410005, China; 5Oncology Department, University of South China Affiliated Changsha Central Hospital, Changsha 410004, China
  • Received:2024-05-07 Revised:2024-09-02 Online:2024-12-12 Published:2024-12-12
  • Contact: 410005 长沙,湖南省人民医院(湖南师范大学附属第一医院)1血液净化中心一部 E-mail:swan916@sina.com

Abstract: Objective To retrieve and evaluate the relevant evidence about the integrated management of autologous arteriovenous fistula (AVF) stenosis after interventional therapy, and to provide evidence-based data for clinical practice.  Methods  According to the "6S" model system, the evidence about postoperative management of AVF stenosis after interventional therapy was retrieved from computer clinical decision-making system, guideline database, domestic and foreign databases, and websites of relevant professional associations. The retrieval time was ended at February 26, 2024. After independent evaluation of the quality of retrieved documents by four researchers, the evidence was extracted and summarized.  Results  A total of 9 articles were included, including 5 clinical decisions, 3 guidelines and one expert consensus. Twenty-five items of evidence were summarized from five aspects: postoperative evaluation and monitoring, postoperative medication, puncture and maintenance of arteriovenous fistula, prevention and treatment of complications and patient education.  Conclusion This study summarizes the best evidence of postoperative management of AVF stenosis after interventional therapy, having scientific and practical value in that it provides evidence-based information for medical and nursing care staff to scientifically manage the AVF stenosis patients after interventional therapy.

Key words: Arteriovenous fistula, Percutaneous transluminal angioplasty, Evidence-based nursing care

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