Primary Radiocephalic Arteriovenous Fistulas for Hemodialysis

The authors review their experience with 318 direct radiocephalic arteriovenous fistulas created for chronic maintenance hemodialysis over the past six years. Thirty-five of the fistulas (11 %) never functioned or thrombosed within the first month. The early failure rate was significantly different between groups older and younger than fifty years of age (p < 0.05). Moreover, the early thrombosis rate was related to the suture techniques used: 8.62% for the interrupted suture group and 20.63% for the running suture group (p < 0.05). Average patency duration for still functioning fistulas in 120 patients is 38.8 months; for the 58 patients who had late failure it was 14.9 months.

[1]  J. Tordoir,et al.  Long-term follow-up of the polytetrafluoroethylene (PTFE) prosthesis as an arteriovenous fistula for haemodialysis. , 1988, European journal of vascular surgery.

[2]  H. Riekkinen,et al.  Clinical experience of arteriovenous fistulae for dialysis during an eighteen year period. , 1988, Annales chirurgiae et gynaecologiae.

[3]  R M Hakim,et al.  Vascular Access for Hemodialysis Patency Rates and Results of Revision , 1985, Annals of surgery.

[4]  E. Hoover,et al.  Vascular access for hemodialysis in the elderly: results and perspectives in a geriatric population , 1985 .

[5]  D. Steed,et al.  Upper arm graft fistula for hemodialysis. , 1984, Journal of vascular surgery.

[6]  J. Anderson,et al.  Reasonable expectations for PTFE grafts in hemodialysis access , 1983 .

[7]  P. Rubio,et al.  Modified human umbilical vein arteriovenous fistula for maintenance hemodialysis: a 31/2-year experience. , 1982, Archives of surgery.

[8]  Jenkins Am,et al.  Medium-term follow-up of forty autogenous vein and forty polytetrafluoroethylene (Gore-Tex) grafts for vascular access. , 1980, Surgery.

[9]  J. C. West,et al.  Surgical management of complications of vascular access for hemodialysis. , 1980, Surgery, gynecology & obstetrics.

[10]  A. Jenkins,et al.  Medium-term follow-up of forty autogenous vein and forty polytetrafluoroethylene (Gore-Tex) grafts for vascular access. , 1980, Surgery.

[11]  L. Lawton.  Steal, stasis, swelling and stenosis. , 1979, The International journal of artificial organs.

[12]  N. Hertzer,et al.  Venous access using the bovine carotid heterograft: techniques, results, and complications in 75 patients. , 1978, Archives of surgery.

[13]  A. Cosimi,et al.  Experience with Dacron Graft Arteriovenous Fistulas for Dialysis Access , 1978, Annals of surgery.

[14]  W. Browder,et al.  Arteriovenous fistulas for long-term dialysis. Factors that influence fistula survival. , 1978, Archives of surgery.

[15]  P. Vereerstraeten,et al.  Nine years' experience with internal arteriovenous fistulas for haemodialysis: A study of some factors influencing the results , 1977, The British journal of surgery.

[16]  J. May,et al.  Saphenous-vein arteriovenous fistula in regular dialysis treatment. , 1969, The New England journal of medicine.

[17]  M J Brescia,et al.  Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula. , 1966, The New England journal of medicine.

[18]  B. Scribner,et al.  Cannulation of blood vessels for prolonged hemodialysis. , 1960, Transactions - American Society for Artificial Internal Organs.