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Short- and long-term evaluation of arteriovenous fistulas for chronic hemodialysis

✍ Scribed by Diamantis Cassioumis; Michael S. Fatouros; Kostas C. Siamopoulos; Athanasios D. Giannoukas

Publisher
John Wiley and Sons
Year
1992
Tongue
English
Weight
195 KB
Volume
13
Category
Article
ISSN
0738-1085

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✦ Synopsis

Abstract

One hundred ninety‐three internal arteriovenous (A‐V) fistulas were performed on patients with renal failure in the last eleven years. The A‐V fistulas were divided on the basis of the following: side‐to‐side between the radial artery and cephalic vein (157 cases); end‐to‐side between the cephalic vein and radial artery (11 cases); end‐to‐end between the radial artery and cephalic vein (5 cases); A‐V fistulas between the brachial artery and the cephalic, basilic or medial cubital vein (20 cases). The side‐to‐side A‐V fistulas achieved an immediate patency in 88% of cases, lower than each of the other groups. However, the subsequent long‐term failure rate was less than the other groups. In addition, satisfactory function was maintained at a high level (93%) during the follow‐up period. The end‐to‐side and end‐to‐end A‐V fistulas showed higher percentages of immediate patency (90% and 100%, respectively), although they were used more often on patients with vascular problems. Diabetic nephropathy was the main factor associated with thrombosis Of A‐V fistulas. © Wiley‐Liss, Inc.

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