The Turkish Journal of Vascular Surgery

Yazarlar: Hakan KARA

Konular:-

Anahtar Kelimeler:Renal dialysis; arteriovenous fistula; chronic renal failure

Özet: Objective: Patients with chronic renal disease for hemodialysis require permanent ar- teriovenous fistulas (AVFs) which have a good long term patency and low complication rate. The aim of this study was to evaluate our AVF experience and to evaluate the success rate and the com- plications in AVF operations performed for hemodialysis access. Material and Methods: We retro- spectively reviewed 298 consecutive operations on 264 patients for hemodialysis access performed in our department between January 2007 and December 2012. Of the 264 cases, 162 were males (61%) and 102 were females (39%).The mean age was 58.8±6.4 years (range: 19-93). The non-do- minant arm was chosen for the operation. The patients were analyzed for the type of the operati- on and the complications. Results: No vascular synthetic grafts were used in this series of 298 consecutive operations. Six-month patency rate for the fistulas were 94%. The complication rate was 14.42 %, and the most common complication was fistula thrombosis. Conclusion: All arterioveno- us fistulas for chronic renal failure should aim a long duration of patency and productivity. Bresci- a-Cimino type distal arteriovenous fistula should be performed as the first choice for the vascular access. Native fistulas are reliable, safe and simple procedures with access sites often available both in the forearm and the upper arm.

---