A Retrospective Evaluation of Outcomes of Arteriovenous Fistulas for Hemodialysis

• Published in: Haseki tıp bülteni Vol. 56; no. 1; pp. 28 - 31
• Main Authors: Şahin, Mazlum, Bıçakhan, Burcu, Akkoç, İbrahim
• Format: Journal Article
• Language: English
• Published: Istanbul Haseki Eğitim ve Araştırma Hastanesi 01.03.2018; Galenos Publishing House; Galenos Yayinevi
• Subjects: Arteriovenous fistula; complication; Fistula; Hemodialysis; Infections; Ischemia; Patients; Sağlık Hizmetleri; Studies; Surgery; Thrombosis; Tıp; Veins & arteries; İstanbul; Türkiye; hemodialysis; Arteriovenous fistula; complication; hemodiyaliz; Arteriyovenöz fistül; komplikasyon
• ISSN: 1302-0072; 2147-2688
• DOI: 10.4274/haseki.07379

Aim: Chronic renal failure patients require arteriovenous fistulas (AVFs) for hemodialysis purposes. The AVF should be open for a long time and should be easy to access. The aim of our study was to present our experience in AVF patients, to evaluate the complications and success rate. Methods: Medical records of 145 consecutive patients, in whom 160 AVF operations were performed between September 2014 and January 2017 for hemodialysis, were reviewed retrospectively. The nondominant arm was preferred for surgery. AVF surgeries were assessed according to location, complication, and availability. Results: The mean age of the patients (90 males and 55 females) was 61.8±6.7 years. In six-month follow-up, the patency rate was 90% and the complication rate was 14.4%. Fistula thrombosis was the most common complication. Conclusion: The main purpose of AVFs is to be open for a long time and to provide sufficient flow. We believe that successful localization and preoperative evaluation will yield successful results.