The Turkish Journal of Vascular Surgery

Yazarlar: Habib ÇAKIR, Funda TOR, Gür Deniz YILDIZ, Mehmet ACIPAYAM, Suat KARACA, İbrahim ÖZSÖYLER

Konular:-

Anahtar Kelimeler:Arteriovenous fistula; chronic renal failure

Özet: Objective: Dialysis should be needed to save alive end stage renal failure patients until to occur renal transplantation which is the main treatment. Arteriovenous accesses were the most preferred way for hemodialysis. Material and Methods: In our clinic, 38 patients who underwent arteriovenous access operation retrospectively analyzed between January 2011 and July 2011. Results: Twenty five patients were male, 13 were female. The mean age was 57.5 (20- 92). Totally 47 patients were performed arteriovenous access operation, 36 of them were Brescia- Cimino arteriovenous access, 10 of them antecubital brachiocephalic arteriovenous access and one of them arteriovenous access closure operation. Four patient underwent reoperations 2 times and 2 patients had 3 times because of ineffective arteriovenous access operations. Arteriovenous access was closed due to development of ischemia after operation then a new arteriovenous access was created from contralateral arm for same patient. The remaining 31 patients underwent operation ones time. Patients were dialysed via temporary hemodialysis catheter after for early period of arteriovenous accesses operations. Because they could have dialysis after postoperative 21 days via arteriovenous fistula. Conclusion: The most significant morbidity and rehospitalisation cause of end-stage renal failure patients was the lack of arteriovenous access way so the use of autogenous vessels, preserving proximal veins as much as possible, waiting for arteriovenous access maturation, and faster intervention to postoperative complications were important to decrease morbidity in these patients.

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