ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Radio-medyan cubital arteriovenous fistula creation for hemodialysis access
Seyhan Yılmaz1, Eray Aksoy1, Serdar Günaydın2
1Department of Cardiovascular Surgery, Hitit University Çorum Training and Research Hospital, Çorum, Turkey
2Department of Cardiovascular Surgery, Medline Hospital, Eskişehir, Turkey
DOI : 10.5606/tgkdc.dergisi.2015.10033
Background: This study aims to present our institutional experience regarding radio-median cubital arteriovenous fistula (AVF) creation in patients unsuitable for standard radiocephalic fistula creation.

Methods: Radio-median cubital AVF was created in 66 patients (31 males, 35 females; mean age 49.6 years; range 22 to 77 years) who were unsuitable for standard radiocephalic fistula creation. The study was performed in a prospective manner. All patients were analyzed with duplex Doppler ultrasonography at postoperative 15th day and sixth month.

Results: Early postoperative complications -within postoperative 15 days- were observed in 10 patients (15.1%). At first follow-up on 15th day, 64 in 66 patients (97.0%) had patent AVF. At sixth month follow-up, 56 in 61 patients (91.8%) had patent AVF. Three patients (5.0%) with patent AVFs were not initiated on hemodialysis within six months. None of the patients had signs of steal syndrome within postoperative six months.

Conclusion: We achieved satisfactory results using radio-median cubital AVF creation technique in patients unsuitable for standard radiocephalic fistula creation. This technique may be a good alternative for patients with poor venous or arterial structure at the level of wrist.

Keywords : Arteriovenous fistula; median cubital vein; renal dialysis
Viewed : 9664
Downloaded : 2023