Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080


Turkish Journal of Vascular Surgery 2014 , Vol 23 , Issue 3
Short and Long Term Complications of Arteriovenous Fistulae Created for Hemodialysis
Bekir İNAN1, Melike Elif TEKER2, Yasin AY1, Cemalettin AYDIN1, Hayrettin TEKÜMİT1, Rahmi ZEYBEK1
1Kalp ve Damar Cerrahisi AD, Bezmiâlem Vakıf Üniversitesi Tıp Fakültesi, İstanbul
2Kalp ve Damar Cerrahisi Kliniği, Malatya Devlet Hastanesi, Malatya
DOI : 10.9739/uvcd.2014-40225 Objective: The patients with chronic renal insufficiency need long term patency of arteriovenous (AV) fistulae for hemodialysis. The aim of this study was to identify the early-and latestage complications after AV fistula operations. Material and Methods: This study was performed retrospectively in the Clinic of Cardiovascular Surgery , and included 1454 patients who had undergone AV fistula operation between October 2005 and January 2014. Group 1 had a re-intervention in the early stage, and group 2 had a re-intervention in the late stage. Results: Thrombosis (n=180), bleeding (n=70) and hematoma (n=11) developed in the early stage. In the late stage, aneurysm (n=52), stenosis or thrombosis (n=62), overflow AV fistulas (n=22), arterial steal syndrome (n=11), and infection (n=10) developed. Conclusion: The rate of short term fistula thrombosis may be minimized with effective anastomosis techniques, surgical experience, anti-aggregant and anticoagulant use, and creation of fistula between suitable vascular structures. Keywords : Arteriovenous fistula; complication; chronic renal failure