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 2008 , Vol 17 , Issue 2
Hemodiyaliz için Enfiye Çukuru (Snuff-Box) Arteriyovenöz Fistüller
Yahya EKİCİ1, Feza Yarbuğ KARAKAYALI1, Mahmut Can YAĞMURDUR1, Mahir KIRNAP1, Gökhan MORAY1, Mehmet HABERAL1
1Genel Cerrahi AD, Başkent Üniversitesi Tıp Fakültesi, ANKARA Objective: In this study, we aimed to discuss this method by analyzing snuff-box arteriovenous fistula outcomes in our experience. Material and Methods: We analyzed the outcomes of 272 snuffbox arteriovenous fistulas created between 1999-2007. Data was determined patients charts and dialysis records. Patients" demographics, end stage renal disease etiology, fistula maturation and patency rates, complications were evaluated retrospectively. Results: Of the 272 patients, 115 (46%) were women and 143 (54%) were men. The mean age of patients was 40.5±8.5. median follow up period of fistulas was 50 months (range 3-65 months). The most frequent etiologic disease of end stage renal disease was Diabetes mellitus (32%). The maturation rate of snuffbox arteriovenous fistula was 85%. One year and 4 year patency rates were 82% and 53 % respectively. Diabetes, sex and side of the extremity did not significantly affect fistula survival. Conclusion: Feasibility of snuff-box arteriovenous fistula was evaluated with the physical examination of this area. Snuffbox arteriovenous fistulas have good maturation and long-term patency rates. This type of fistulas may be the first choice for suitable patients requiring primary access. Keywords : Vascular access for hemodialysis; Arteriovenous fistula; Anatomical snuffbox