PRIMARY RADIOCEPHALIC ARTERIOVENOUS-FISTULAS FOR HEMODIALYSIS

被引:2
作者
BILGEL, H
KORUN, N
KILICTURGAY, S
OZEN, Y
CENGIZ, M
YURTKURAN, M
机构
[1] Departments of General Surgery and Nephrology, University of Uludag, Bursa
来源
VASCULAR SURGERY | 1992年 / 26卷 / 04期
关键词
D O I
10.1177/153857449202600410
中图分类号
R61 [外科手术学];
学科分类号
摘要
The authors review their experience with 318 direct radiocephalic arteriovenous fistulas created for chronic maintenance hemodialysis over the past six years. Thirty-five of the fistulas (11%) never functioned or thrombosed within the first month. The early failure rate was significantly different between groups older and younger than fifty years of age (p < 0.05). Moreover, the early thrombosis rate was related to the suture techniques used: 8.62% for the interrupted suture group and 20.63% for the running suture group (p < 0.05). Average patency duration for still functioning fistulas in 120 patients is 38.8 months; for the 58 patients who had late failure it was 14.9 months.
引用
收藏
页码:313 / 316
页数:4
相关论文
共 17 条
  • [1] Quinton W.E., Dillard D., Scribner B.H., Cannulation of blood vessels for prolonged hemodialysis, Trans Am Soc Artif Int Organs, 6, pp. 104-113, (1960)
  • [2] Brescia M.J., Cimino J.E., Appel K., Et al., Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula, N Engl J Med, 275, pp. 1089-1092, (1966)
  • [3] Jenkins A.M., Buist T., Glover S.D., Medium follow-up of forty autogenous vein and forty polytetrafluorethylene (Gore-Tex) grafts for vascular access, Surgery, 88, pp. 667-672, (1980)
  • [4] Palder S.B., Kirkman R.L., Whittemore A.D., Et al., Vascular access for hemodialysis. Patency rates and results of revision, Ann Surg, 202, pp. 235-239, (1985)
  • [5] Steed D.L., McAuley C.E., Rault R., Et al., Upper arm graft fistula for hemodialysis, J Vasc Surg, 1, pp. 660-663, (1984)
  • [6] Tordoir J., Herman J.M., Kwan T.S., Et al., Long-term follow-up of the polytetrafluorethylene (PTFE) prosthesis as an arteriovenous fistula for haemodialysis, Eur J Vasc Surg, 2, pp. 3-7, (1987)
  • [7] May J., Tiller D., Johnson J., Et al., Saphenous vein arteriovenous fistula in regular dialysis treatment, N Engl J Med, 280, pp. 770-772, (1969)
  • [8] Hertzer N.R., Beven E.G., Venous access using the bovine carotid heterograft. Techniques, results, and complications in 75 patients, Arch Surg, 113, pp. 696-700, (1978)
  • [9] Rubio P.A., Farrell E.M., Modified human umbilical vein arteriovenous fistula for maintenance haemodialysis, Arch Surg, 117, pp. 943-945, (1982)
  • [10] Burdick J.F., Scott W., Cosimi A.M., Experience with Dacron graft arterio-venous fistulas for dialysis access, Ann Surg, 187, pp. 262-266, (1978)