Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Damar Cer Derg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 1301 - 1839 E-ISSN 2149 - 1259
Turkish Journal of Vascular Surgery 2015 , Vol 24 , Issue 1
Mid-Term Follow-Up Results of Arteriovenous Fistulas with Basilic Vein Transposition and Prosthetic Grafts in Hemodialysis-Dependent Chronic Renal Failure Patient
Orkut GÜÇLÜ1,Volkan YÜKSEL1,Serhat HÜSEYİN1,Ümit HALICI2,Şahin İŞCAN3,Turan EGE1,Suat CANBAZ1
1Kalp ve Damar Cerrahisi AD, Trakya Üniversitesi Tıp Fakültesi, Edirne
2Kalp ve Damar Cerrahisi Kliniği, Samsun Eğitim ve Araştırma Hastanesi, Samsun
3cKalp ve Damar Cerrahisi Kliniği, İzmir Kâtip Çelebi Üniversitesi Atatürk Eğitim ve Araştırma Hastanesi, İzmir
DOI : 10.9739/uvcd.2014-42956 Objective: We retrospectively investigated the arteriovenous fistulas (AVF) that were created with basilic vein transposition or prosthetic grafts for hemodialysis access in our clinic, their patency rates, and the factors affecting their patency. Material and Methods: We retrospectively evaluated the results of 157 patients who had basilic vein transposition (group A, n=133) and prosthetic graft (6 mm politetrafluoroethylene) interposition (group B, n=24) for hemodialysis access in our clinic between January 2009 and January 2014. Mean follow-up period was 18±3.2 months. Primary patency rates, smoking, comorbid factors such as diabetes mellitus, hypertension, coronary artery disease, peripheral artery disease and cerebrovascular disease were noted. Results: Additional intervention was required due to thrombosis in 16.5% of patients in group A (n=22), and 41.6% of patients in group B (n=10). The mean primary patency period was 52 and 38 weeks in groups A and B, respectively. Although no wound infection was observed in group A, 2 patients developed wound infection requiring antibiotic therapy in group B. There was at least one accompanying comorbid factor in 55% of patients requiring additional intervention in group A, and in 75% of patients in group B, and this ratio was 84.4% in patients who developed thrombosis in both groups. In patients that had thrombosis, the number of patients without any comorbid factors was 8 (6.1%) and 1 (4.1%) in groups A and B, respectively. No mortality was observed in the study group. Conclusion: The arteriovenous fistulas created with native vasculature have lower complication rates and better primary patency rates compared to prosthetic grafts in hemodialysis- dependent chronic renal failure patients. Besides, additional comorbid factors contribute to an increase in fistula- related complications. Keywords : Chronic kidney failure, arteriovenous fistula, complications, comorbidity