末期腎臟病患透析通路的建立時機及型態

Timing for Creation and Choice of Type of Hemodialysis Vascular Access for Patients With Chronic Kidney Disease

陳秀婷(Hsiu-Ting Chen) ； 唐德成(Der-Cherng Tarng)

《腎臟與透析》 31卷2期 (2019/06) Pp. 49-52

https://doi.org/10.6340/KD.201906_31(2).0001

摘要

血管通路的建立時機及種類一直是末期腎臟病病患及腎臟科醫師關注的議題。血液透析通路中以動靜脈廔管最佳，人工血管次之，而永久性透析導管應保留於前述兩者均評估不可為時才施行。如何提高透析通路的可行性及減少併發症，需要多專科的合作及病患的配合。本文主旨為針對血液透析通路的建立時機及型態做一個簡單的整理及提供新知。

關鍵字

血液透析 ； 血管通路 ； 動靜脈廔管 ； 人工血管 ； 永久性透析導管

並列摘要

Optimizing vascular access outcomes is an important issue for both patients and nephrologists. Generally speaking, fistulas are preferred over grafts, and grafts are preferred over catheters. A well-functioning vascular access requires the close collaboration among nephrologists, surgeons, patients, and the dialysis staff. The goal of this review is to provide an update on the current status of timing of creation and types of vascular access.

並列關鍵字

hemodialysis ； vascular access ； arteriovenous fistula ； arteriovenous graft ； central venous catheter