Short- and long-term evaluation of arteriovenous fistulas for chronic hemodialysis (Journal article)

Cassioumis, D./ Fatouros, M. S./ Siamopoulos, K. C./ Giannoukas, A. D.

One hundred ninety-three internal arteriovenous (A-V) fistulas were performed on patients with renal failure in the last eleven years. The A-V fistulas were divided on the basis of the following: side-to-side between the radial artery and cephalic vein (157 cases); end-to-side between the cephalic vein and radial artery (11 cases); end-to-end between the radial artery and cephalic vein (5 cases); A-V fistulas between the brachial artery and the cephalic, basilic or medial cubital vein (20 cases). The side-to-side A-V fistulas achieved an immediate patency in 88% of cases, lower than each of the other groups. However, the subsequent long-term failure rate was less than the other groups. In addition, satisfactory function was maintained at a high level (93%) during the follow-up period. The end-to-side and end-to-end A-V fistulas showed higher percentages of immediate patency (90% and 100%, respectively), although they were used more often on patients with vascular problems. Diabetic nephropathy was the main factor associated with thrombosis of A-V fistulas.
Institution and School/Department of submitter: Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής
Keywords: Adolescent,Adult,Aged,Aged, 80 and over,Arm/blood supply,*Arteriovenous Shunt, Surgical/methods,Evaluation Studies as Topic,Humans,Middle Aged,*Renal Dialysis,Retrospective Studies,Vascular Patency
ISSN: 0738-1085
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά)

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