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[Performance of av--fistula for dialysis (author's transl)]
Zentralblatt Fur Chirurgie
|January 1, 1977
Summary
Arteriovenous (AV) fistulas created between 1971-1975 showed a 24% thrombosis rate. End-to-end anastomosis of the radial artery and forearm cephalic vein yielded optimal results for AV fistula patency.
Area of Science:
- Vascular Surgery
- Nephrology
- Cardiovascular Research
Context:
- Between 1971 and 1975, 104 arteriovenous (AV) fistulas were surgically created.
- AV fistulas are crucial vascular access for hemodialysis.
- Thrombosis is a significant complication impacting fistula longevity.
Purpose:
- To evaluate the outcomes of AV fistulas performed during a specific period.
- To identify the most effective surgical technique for AV fistula creation.
- To determine the thrombosis rate associated with AV fistulas.
Summary:
- A total of 104 AV fistulas were performed.
- The overall thrombosis rate observed was 24%.
- End-to-end anastomosis between the radial artery and the cephalic vein demonstrated superior outcomes, minimizing shunt thrombosis.
Impact:
- Findings highlight the importance of surgical technique in AV fistula patency.
- This data can inform surgical practice to improve long-term vascular access.
- Reduced thrombosis rates can enhance patient quality of life and reduce healthcare costs.