Scopus
🔓 Açık Erişim YÖKSİS Eşleşti
Autogenous sapheonus vein graft interposition in arteriovenous fistula formation
Journal of Clinical and Analytical Medicine · Ocak 2014
YÖKSİS Kayıtları
Arteriyovenöz Fistül Oluşturulması Amacıyla Otojen Safen Ven Greft İnterpozisyonu
Journal of clinical and analytical medicine · 2014 TR DİZİN
DOÇENT ÖMER FARUK ÇİÇEK →
Makale Bilgileri
DergiJournal of Clinical and Analytical Medicine
Yayın TarihiOcak 2014
Cilt / Sayfa5
Scopus ID2-s2.0-84900312107
Erişim🔓 Açık Erişim
Özet
Aim: Other techniques are required due to the negative influence of poor superficial venous system calibration (<1.5-2 mm) to the long term patency of the arteriovenous fistula which is documented via preoperative Doppler ultrasound examination. The postoperative outcome of 32 patients were compared prospectively whom autologous saphenous vein bridge graft was interposed between brachial artery/high brachial vein and radial artery/basilic vein. Material and Method: Patients were divided into two groups; patients whom radial artery/basilic vein autologous saphenous vein graft interposition was performed were labelled as Group 1 (17 patients) while patients whom brachial artery/high brachial vein autologous saphenous vein graft was interpositioned were labelled as Group 2 (15 patients). Patients were followed up for 12 months. Graft related complications were recorded. Primary and secondary patency rate were calculated. Results: Graft infection, edema or ischemia of the hand or arm, congestive heart failure and mortality was not observed. There was not a significant difference in puncture site complications between two groups. Primary patency rate was 76.5% (13 of 17) in Group 1 while it was 93.3% (14 of 15) for Group 2 (p=0,185). Secondary patency rate was 82.4% (14 of 17) in Group1 and 100% (15 of 15) for Group 2 (p=0.093). Primary and secondary patency rate were similar between two groups. Discussion: We sought to compare the complication and patency rate of the proximal (brachial artery/high brachial vein) and distal (radial artery/ basilic vein) located bridge graft interpositions and could not found statistical difference between two groups. It is reasonable to keep proximal regions for further interventions, so radial artery/basilic vein bridge graft interposition can be recommended as the initial option according to our findings.
Yazarlar (8)
1
Alper Uzun
2
Adem Diken
3
Adnan Yalçinkaya
4
Onur Hanedan
5
Ömer Faruk Çiçek
ORCID: 0000-0002-4675-3273
6
Gökhan Lafçi
ORCID: 0000-0002-0639-4341
7
Garip Altıntaş
8
Kerim Cagli
Anahtar Kelimeler
Arteriovenous fistula
Hemodialysis
Saphenous vein
Kurumlar
Turkiye Yuksek Ihtisas Hospital
Ankara Turkey