Chinese Journal of Blood Purification ›› 2018, Vol. 17 ›› Issue (11): 757-760.doi: 10.3969/j.issn.1671-4091.2018.11.009

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he relationship between draining veins and vein anastomotic stenosis of arteriovenous graft

  

  • Received:2018-07-02 Revised:2018-08-31 Online:2018-11-12 Published:2018-11-13

Abstract: 【Abstract】Objective To investigate the role of draining veins in predicting vein anastomotic stenosis of arteriovenous graft (AVG) in patients with end-stage renal disease. Method This is a study regarding 138 cases with AVG at the Renal Department of Haidian Hospital in 2016. Their clinical data including conditions of vessels were collected. Patients were followed up to record the use of graft and its complications. Cox multivariate regression model was used to analyze the relative factors. Result The rate of brachial-cephalic AVG was 54.35% and brachial-median antecubital AVG was 32.61%. Cox multivariate regression analysis showed that the diameter of tourniquet draining vein was the independent risk factor for vein anastomotic stenosis (HR: 0.672, 95% CI: 0.453~0.995, P=0.047). Conclusion The diameter of tourniquet draining vein rather than the diameter of feeding artery and draining vein was significantly associated with vein anastomotic stenosis of AVG,

Key words: Arteriovenous graft, Arteriovenous fistula, Stenosis, Hemodialysis