Experience with Arteriovenous Fistulas (CIMINO) in Chronic Hemodialysis

Abstract

Experiences with 45 uremic patients with arteriovenous fistulas for dialysis are described. The operation is easy and successful if the vessels of the patient are intact. Varicose syndromes of the hand may occur but can be managed. Complications from cannulations, such as large hematomas, are rare but may obstruct otherwise good fistulas. The fistula should be constructed in good time before a definite need for dialysis arises.

Radiocephalic Wrist Arteriovenous Fistula for Hemodialysis: Meta-analysis Indicates a High Primary Failure Rate

“…Cohen et al 10 13.6 --Rö hl et al 11 10 --Kinnaert et al 12 8.6 --Tellis et al 13 23.7 -32.2 Zerbino et al 14 8.8 --Thompson et al 15 13.0 --Cheek et al 16 3.6 --Lindfors et al 17 15.6 --Paruk et al 18 15.7 -75.9 Tordoir et al 19 10 -80 * Burger et al 20 6.3 53 79 Thomsen et al 21 26 -37 Alm et al 22 29.9 --Rohr et al 23 -6 0 * -Fernströ m et al 24 29 45 * 55 * Kherlakian et al 25 12 -71 Simoni et al 26 -75.5 -Enzler et al 27 --7 4 Cassioumis et al 28 --79.1 Al-Mohaya et al 29 2.7 --Sparks et al 30 12.2 --Nazzal et al 31 --7 2 Leapman et al 32 13 -56 Prischl et al 33 22.8 -48 Miller et al 34 12.2 --Bender et al 35 9 -7 6 Lin et al 36 23.8 --Zeebregts et al 37 27.5 55 * -Ascher et al 38 25 --Hingorani et al 39 -7 5 -* Data taken from figure. the heterogeneity might be related to the fact that in some studies the patency data were given in the text but presented in patency curves in figures.…”

Outcome for arterio‐venous fistula at the elbow for haemodialysis

“…The much lower cost in the case of AVF is also an advantage. However, despite the advantages of AVF, the primary failure rate is in the region of 13–28% [5–7]. A number of reasons for the high failure rate has been discussed in the literature such as unsatisfactory veins, poor flow in artery, faulty surgical technique, age greater than 65 yr and female sex.…”

Vascular access for hemodialysis: A perpetual challenge

“…Originally described as side‐to‐side anastomosis between the radial artery and the cephalic vein, it was then adapted to include end‐to‐side, end‐to‐end anastomoses, and other locations. At that time, early fistula failure was reported in 5%‐12% of cases . At its inception, dialysis was performed through the fistula the day after surgery using a tourniquet to produce venous engorgement.…”

“…At that time, early fistula failure was reported in 5%-12% of cases. [12][13][14] At its inception, dialysis was performed through the fistula the day after surgery using a tourniquet to produce venous engorgement. Its reliability, infrequent infection, and thrombosis, as well as its easy maintenance, made it the ideal option in patients who had suitable vessels.…”