Videoscopic Surgery for Arteriovenous Hemodialysis Access
| Autor: | Hyuncheol Jeong, Miju Bae, Sung Woon Chung, Chung Won Lee, Up Huh, Min Su Kim |
|---|---|
| Jazyk: | English<br />Korean |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Korean Journal of Thoracic and Cardiovascular Surgery, Vol 53, Iss 1, Pp 28-33 (2020) |
| Druh dokumentu: | article |
| ISSN: | 2233-601X 2093-6516 |
| DOI: | 10.5090/kjtcs.2020.53.1.28 |
| Popis: | Background: When an arteriovenous fistula (AVF) is created using the basilic or deep cephalic vein, it is additionally necessary to transfer the vessels to a position where needling is easy; however, many patients develop wound-related postsurgical complications due to the long surgical wounds resulting from conventional superficialization of a deep AVF or basilic vein transposition. Thus, to address this problem, we performed videoscopic surgery with small surgical incisions. Methods: Data from 16 patients who underwent additional videoscopic radiocephalic superficialization, brachiocephalic superficialization, and brachiobasilic transposition after AVF formation at our institution in 2018 were retrospectively reviewed. Results: Needling was successful in all patients. No wound-related complications occurred. The mean vessel size and blood flow of the AVF just before the first needling were 0.73±0.16 mm and 1,516.25±791.26 mL/min, respectively. The mean vessel depth after surgery was 0.26±0.10 cm. Percutaneous angioplasty was additionally performed in 25% of the patients. Primary patency was observed in 100% of patients during the follow-up period (262.44±73.49 days). Conclusion: Videoscopic surgery for AVF dramatically reduced the incidence of postoperative complications without interrupting patency; moreover, such procedures may increase the use of native vessels for vascular access. In addition, dissection using a videoscope compared to blind dissection using only a skip incision dramatically increased the success rate of displacement by reducing damage to the dissected vessels. |
| Databáze: | Directory of Open Access Journals |
| Externí odkaz: |
|