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 2
Retrospective Analysis of Arteriovenous Fistulas for Hemodialysis: Our Two-Year Clinical Experience
Burak Can DEPBOYLU, Nurşin KÜLCÜ, Durmuş Aykut YOLYAPAN
1Kalp Damar Cerrahisi AD, Muğla Sıtkı Koçman Üniversitesi Tıp Fakültesi, Muğla
2Kalp Damar Cerrahisi Kliniği, Muğla Sıtkı Koçman Üniversitesi Eğitim ve Araştırma Hastanesi, Muğla
DOI : 10.9739/uvcd.2014-41105 Objective: Creation of an arteriovenous fistula (AVF) is a highly preferred procedure in patients who received dialysis program due to chronic renal failure. However the factors like additional chronic illnesses, preffered vascular structures and the surgical technique are the factors that effect the patency of the AVF and the level of patient benefit from it. In this study, we aimed to evaluate AVF operations performed in our clinic retrospectively. Material and Methods: 151 operations in 126 patients that performed to create AVF in our clinic, between the years 2012-2014 were evaluated retrospectively, in terms of demographic characteristics, comorbid illnesses, surgery, early and late postoperative results. Results: 61% of the patients were male, 39% were female. Average age was calculated as 64.59±14.76. 46 of the 151 operation were reoperations. In the remaining 105 operations, 90,47% left upper extremity and 71,42% radial region were used. The patency rates of the created AVFs were calculated 94.28% in the 10th day, 90.47% in the 1st month and 80.95% at the end of 12 months. Basilic vein transposition was performed to 8 patients. 5 of these 8 patients were reoperations. The most common complications in the early period were, thrombus formation with 23.91% and haematomas with 6.52%. In the 66,6% of patients, one or more additional chronic illnesses were identified, hypertension was the first with 45.23% among them. Conclusion: Before operation, the extremity protection, selection of appropriate localization, anastomosis technique and postoperative recognition of sufficient time for maturing AVF are important. Frequently encountered additional chronic diseases should be controlled, and should be coordinated with the physicians of the related clinics and dialysis department. Keywords : Arteriovenous fistula; renal insufficiency, chronic; renal dialysis