RETROSPECTIVE EVOLUATION OF ARTERIOVENOUS FISTULAS FOR HEMODIALYSIS ACCESS

Hasan Fehmi Küçük, Necmi Kurt, Nihat Çine, Oğuzhan Torlak, Hüseyin Akyol

Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi, 3. Cerrahi Kliniği, İstanbul

Background: The aim of this study is to evaluate our experience, success rate and the surgical technique in arteriovenous fistula operations for haemodialysis access.

Methods: Ninty-two patients operated for hemodialysis access between December 2000 and August 2001 were evaluated retrospectively for the type of operation, early and late complications.

Results: The most common type of operation performed in 59 patients (64.1%) was Brescio and Cimino type at the wrist region between radial artery and cephalic vein. The most distal site of the non-dominant arm was chosen according to the condition of the vessels and patients age. The patency of fistulas was 98.9% just after the operation, 96.7% after a week, 94.5% after a month and 91.3% after six months. The complication rate was 11.9% and the most common complication was thrombus formation.

Conclusion: The aim should be to get long duration of patency and productivity of the arteriovenous fistula.

Keywords : Arteriovenous fistula, haemodialysis

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