Basic Strategies for Successful Arteriovenous Fistula Applications: A Three-Year Retrospective Study

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Uysal D. , Çeviker K., Yavuz T.

Ulusal Vasküler Cerrahi Derneği Damar Cerrahisi Dergisi, vol.25, no.1, pp.1-5, 2016 (Other Refereed National Journals)

  • Publication Type: Article / Article
  • Volume: 25 Issue: 1
  • Publication Date: 2016
  • Title of Journal : Ulusal Vasküler Cerrahi Derneği Damar Cerrahisi Dergisi
  • Page Numbers: pp.1-5


ABS TRACT Objective: The aim of this study is to share our experience in creating arteriovenous fistulas

(AVF) for hemodialysis. Material and Methods: The study included 143 AVF cases performed

on 131 patients between October 2010 and October 2013. The cases were retrospectively examined

in a one-year surveillance period for early and midterm postoperative results. Results: Among all, 51.9

% of the patients were malse (n=68), with a mean age of 55±12 years. In those141 procedures, 32

(24.4 %) were performed on the right arm, and 99 (75.6%) were performed on the left arm. Basilic,

cephalic and antecubital veins comprised 3 (2.3%), 119 (90.8%) and 9 (6.9%) cases, respectively. Venous

anastomosis was carried out in radial arteries in 98 cases (74.8 %), and in brachial arteries in 33

cases (25.2%). The patency rates were 98.5% on the tenth day, 97.7 % after 6 months, and 96.9 %

after 12 months. The mean flow rate through the fistulas was 661±34 ml/min after 12 months. Conclusion:

Identification of the sites of anastomosis through preoperative vascular Doppler ultrasonography

at the most distal locations where target arteries and veins are wider than 2 mm, and

consideration of the possibility of atherosclerosis or thrombus may increase the success rate of AVFs.

A murmur or thrill indicates success of the AVF procedure. Venous dilatation with low pressure

using physiological saline prior to anastomosis may increase the chance to obtain a thrill.

Key Words: Arteriovenous fistula; renal dialysis; kidney failure, chronic