Retrospective Analysis of Arteriovenous Fistulas for Hemodialysis: Our Two-Year Clinical Experience

Depboylu, Burak Can; Külcü, Nurşin; Yolyapan, Durmuş Aykut

doi:10.9739/uvcd.2014-41105

Cited by 3 publications

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“…10 Current consensus is that cannulation 14 days should be avoided, whereas a minimum of 28 days should be allowed for AVF maturation, the extent of which could then be assessed by blood flow and diameter measurement in the draining vein. [17][18][19] Maturation time for the present study group is about four weeks.…”

Section: Discussionmentioning

confidence: 90%

Arteriovenous fistulas ipsilateral to internal jugular catheters for hemodialysis have decreased patency rates

Özpak

Yılmaz

2018

Vascular

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Purpose This study aimed to evaluate the effects of hemodialysis catheters on the survival of subsequent arteriovenous fistulas, according to the relative localization to the catheters. Methods A total of 201 patients who initiated dialysis therapy using a hemodialysis catheter were eligible for this retrospective study. Arteriovenous fistulas were created on the nondominant upper extremity after the placement of hemodialysis catheters. The catheters were removed after four consecutive successful dialyses via arteriovenous fistulas. The effective factors on arteriovenous fistula failure were determined in and the prognostic factors for survival were modeled by regression analysis. Results The relative placement of catheters as ipsi- or contralateral was found to significantly affect the survival of the arteriovenous fistulas. The overall survival was significantly longer in the contralateral arteriovenous fistula group (778.7 ± 28.8 vs. 247.3 ± 26.1 days; p < 0.001). The independent predictors of arteriovenous fistula survival were found to be relative side of arteriovenous fistula and hemodialysis catheter, age, and the presence of hypertension in multivariate analyses. Conclusion This study showed that ipsilateral localization of the catheters and arteriovenous fistulas negatively affect the cumulative arteriovenous fistula survival. Therefore, to improve vascular access survival, side of catheters or arteriovenous fistulas should always be considered.

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Section: Discussionmentioning

confidence: 90%

Arteriovenous fistulas ipsilateral to internal jugular catheters for hemodialysis have decreased patency rates

Özpak

Yılmaz

2018

Vascular

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“…Distal radiyosefalik fistüller yüksek açıklık ve düşük komplikasyon oranıyla önerilen altın standart damar erişim yoludur ve tüm hastalar mutlaka distal bölgeden fistül girişimine uygunluk açısından değerlendirilmelidir. [16,17] Proksimal radiyosefalik fistül girişimi teknik olarak daha zordur, bu bölgede radiyal arter daha derinde bulunur, özellikle obez hastalarda bu girişim daha yorucu ve zaman alıcıdır. Bu fistülde de inflow olarak radiyal arter kullanıldığı için fistüle bağlı distal iskemi oluşma riski daha düşüktür.…”

Section: Discussionunclassified

Comparison of the mid-term results of proximal and distal radiocephalic arteriovenous fistulas created for hemodialysis

Kocaaslan¹

2018

Damar Cer Derg

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“…In addition, AVF creation is still the most frequent and the most optimal method for hemodialysis patients. [2] On the other hand, some complications of AVF which include aneurysm formation may be seen in this period. In addition, aneurysm formation may occur due to repeated punctures for hemodialysis which can weaken the vein wall in selected patients.…”

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confidence: 99%

Our experiences with hemodialysis arteriovenous fistula aneurysm

Kayğın¹

2020

Turk J Vasc Surg

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Objectives: This study presents the short-term clinical data of surgical treatment strategies of patients with hemodialysis arteriovenous fistula (AVF) aneurysms. Patients and methods: Between January 2010 and July 2019, a total of 103 patients (69 males, 34 females; mean age 52.3±20.6 years; range, 18 to 87 years) who underwent elective AVF surgery due to AVF aneurysms (≥4 cm) were included in this retrospective study. Operative techniques and patients' outcomes were reviewed and analyzed. Results: Aneurysm resection and graft interposition, ligation, and aneurysmorrhaphy (partial aneurysm resection and plication) were performed in 62, 5, and 14 patients with radiocephalic AVF aneurysms, respectively. Aneurysm resection and graft interposition, aneurysm ligation, and aneurysmorrhaphy were performed in 10, 7, and 5 patients with brachiocephalic and brachiobasilic AVF aneurysms, respectively. Wound infection, hematoma, and seroma were seen as postoperative complications in 5, 4, and 11 patients, respectively. The mean postoperative fistula flow rate of the patients with brachiocephalic and brachiobasilic AVFs was 402±48 mL/min. The mean postoperative fistula flow rate of the patients with radiocephalic AVFs was 325±69 mL/min. There was no in-hospital mortality. Conclusion: It should be kept in mind that AVF aneurysms may cause serious consequences, if left untreated before the development of complications. The surgical treatment of AVF aneurysms not only reduces the risk for developing complications, but also provides the protection of the AVF in most patients.

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Retrospective Analysis of Arteriovenous Fistulas for Hemodialysis: Our Two-Year Clinical Experience

Cited by 3 publications

References 0 publications

Arteriovenous fistulas ipsilateral to internal jugular catheters for hemodialysis have decreased patency rates

Arteriovenous fistulas ipsilateral to internal jugular catheters for hemodialysis have decreased patency rates

Comparison of the mid-term results of proximal and distal radiocephalic arteriovenous fistulas created for hemodialysis

Our experiences with hemodialysis arteriovenous fistula aneurysm

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