Early and late results of the arteriovenous fistulae created for hemodialysis: A retrospective clinical study

A. Nuri SÖZÜDOĞRU, Uğur CANGEL, Bülent ERYÜKSEL, Kazım BEŞİRLİ, M. Kamil KAVAK, Hasan ÇOŞKUN

İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, Göğüs, Kalp ve Damar Cerrahisi Anabilim Dalı, İstanbul

We examined short and long term patency of arteriovenous fistula performed for the patients with chronic renal disease.

76 patients with chronic renal disease were operated for subcutenous arteriovenous fistula between September 1996 December 1997 and followed retrospectively for short and long term patency. 27 patients were followed at least for 1 year and all patients at least for 3 months.

Early failure rate was 18%. Early failure was statistically higler with end-to-side fistula than side-to-side fistula, with snuffbox fistula than more proksimal fistula and with fistula having high venous pressure than those with low venous pressure. There were no statistically significant difference between these parameters for long term patency.

We conclude that intraoperative variables are important for the short term patency of fistula and care of the fistula and appropirate revison of the fistula when necessary are important for the long term patency.

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