The importance of multidisciplinary approach for the quality of life of hemodialysis patients with an arteriovenous fistula

İlker Alat,

İlker Alat¹, Mehmet Beşir Akpınar¹, Funda Bahçeci², Hülya Taşkapan², Ramazan Kutlu³, Kaya Saraç³, Bektaş Battaloğlu¹, Vedat Nisanoğlu¹

¹İnönü Üniversitesi Tıp Fakültesi Turgut Özal Tıp Merkezi, Kalp ve Damar Cerrahisi Anabilim Dalı, Malatya
²İnönü Üniversitesi Tıp Fakültesi Turgut Özal Tıp Merkezi,İç Hastalıkları Anabilim Dalı, Malatya
³İnönü Üniversitesi Tıp Fakültesi Turgut Özal Tıp Merkezi,Radyoloji Anabilim Dalı, Malatya

The factors affecting the long-term success of arteriovenous fistulae for hemodialysis were evaluated in five patients. The sufficiency of circulation before establishing an arteriovenous fistula is of great relavence for a cardiovascular surgeon. Changes in the patients preoperative condition alters the strategy of the operation. The most important factor for long-term postoperative improvement of arteriovenous fistulae is training of the hemodialysis personnel. Invasive radiologists are also of important associates of cardiovascular surgeons to achieve success. It should be recalled that surgery for arteriovenous fistula confers a meaningful life on the patient. The importance of a multidisciplinary approach is emphasized.

Keywords : Arteriovenous shunt, surgical/methods; renal dialysis; suture techniques; thrombosis/prevention & control; vascular patency; vascular resistance

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