Vena cubiti media for creation of a loop-shaped arteriovenous fistula at the elbow region
| Autor: | Niyazi Gormus, Cevat Özpınar, Hasan Solak, Ufuk Özergin |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Male
medicine.medical_specialty Brachial Artery medicine.medical_treatment Elbow Arteriovenous fistula Anastomosis Aneurysm Arteriovenous Shunt Surgical Renal Dialysis medicine.artery medicine Humans Brachial artery Child Aged business.industry General Medicine Middle Aged medicine.disease Thrombosis Surgery medicine.anatomical_structure Female Hemodialysis Cardiology and Cardiovascular Medicine business Abdominal surgery |
| Zdroj: | Annals of vascular surgery. 18(5) |
| ISSN: | 0890-5096 |
| Popis: | Hemodialysis access is one of the major routes, for patients who need long-term hemodialysis. In this report, we tried a new secondary arteriovenous fistula technique. Between January 2000 and June 2003, hemodialysis access was created in more than 650 patients with end-stage renal failure at our institution. In 15 cases a loop-shaped hemodialysis access was created between the brachial artery and vena cubiti media as a second choice. The youngest patient was 12 years old, whereas the oldest was 75. The mean follow-up period (A+/-SD) for these patients was 10.4 A+/- 2.53A months. Twelve patients are still using these fistulas successfully for hemodialysis (86.6%), whereas one patient died 7A months after the operation (6.7%). In one patient, the arteriovenous fistula failed 6A months after the operation (6.7%). Thrombosis due to hypotension occurred in two cases (13.3%) and this was resolved by simple thrombectomy. One patient had an aneurysm over the vena cubiti media (6.6%). None of the patients had an infection. These results suggest that an end-to-side anastomosis between the brachial artery and, vena cubiti media can be used as a second choice for hemodialysis access in patients with end-stage renal disease. |
| Databáze: | OpenAIRE |
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