Early follow-up results of arteriovenous fistulae created for hemodialysis at Viet Duc University Hospital period 2016-2019

Sa Minh Duong , Doan Quoc Hung

Main Article Content

Abstract

Analysis early results of arterio-venous fistula created for hemodialysis - at Viet duc university hospital. From 01/2016 to 3/2019, there were 51 patients including in study. Mean age   was   56±13   years (22-83).   Male was 55% (28).    74,5%    of    the    patients    needed emergency    hemodialysis    before    operation. Comorbidities were: hypertension (33,3%), diabetes mellitus (7,8%) and other like: colon cancer...For all the patients before surgery we did ultrasound vessel and haft of them a ultrasound vessel mapping to decide fistula location. Distribution of fistula by location was: 49% at the wrist; 45,1% at the elbow and 5,9% at the arm. There were some special techniques: make deep brachial vein became superficial 5,6%; vein translocation 2%. The techniques of anastomosis between artery and vein were: end to side (98%), side to side (2%). Post operative Results:   Clearly   thrill   90,2%,  no   serious bleeding and no infection.

Article Details

References

1. Zhang Luxia, Wang Fang and Wang Li (2012). Prevalanve of chronic kidney disease in china: A cross-sectional survey. The Lancet, 379 (9818), 815-822.
2. Thái Minh Sâm, Dương Quang Vũ và Châu Quý Thuận (2011). Phẫu thuật tạo dò động tĩnh mạch để chạy thận nhân tạo. Hội Nghị Khoa Học Kỹ Thuật Bệnh viện Chợ Rẫy, 15 (4), 561-565.
3. Michelle L. Robbin, Tom Greene, Alfred K. Cheung el at (2016). Arteriovenous Fistula Development in the First 6 Weeks after Creation. Radiology, 279 (2), 620-629.
4. Dageforde LA, Harms KA, Feurer ID el at (2015). Increased minimum vein diameter on preoperative mapping with duplex ultrasound is associated with arteriovenous fistula maturation and secondary patency. J Vasc Surg, 61 (1), 170-176.
5. F. Saucy, Claude Haesler E Fau - Haller, Sebastien Haller C Fau - Deglise el at (2009). Is intra-operative blood flow predictive for early failure of radiocephalic arteriovenous fistula? Nephrol Dial Transplant, 10, 1093- 1096.
6. Sung Min Kim, Youngjin Han, Hyunwook Kwon el at (2016). Impact of a preoperative evaluation on the outcomes of an arteriovenous fistula. Ann Surg Treat Res, 90 (4), 224–230.
7. Robbin M. L, Chamberlain NE, Lockhart ME el at (2002). Hemodialysis arteriovenous fistula maturity: US evaluation. Radiology, 225, 59- 64.
8. Đặng Ngọc Hùng, Nguyễn Tất Thắng và Nguyễn Sanh Tùng (2009). Kích thước miệng nối và lưu lượng trở về trong nối thông động - tĩnh mạch ở cổ tay để chạy thận nhân tạo chu kỳ. Y học thực hành, 12 (694), 22-27.
9. R. Amerling, C. Ronco, M. Kuhlman el at (2011). Arteriovenous fistula toxicity. Blood Purif, 31 (1-3), 113-120.
10. B. M. Voorzaat, J. van Schaik, H. M. Siebelink el at (2016). The pros and cons of preserving a functioning arteriovenous fistula after kidney transplantation. J Vasc Access, 17 (1), 16-22.
11. Wong Chee Siong, McNicholas Nuala, Healy Donagh el at (2013). A systematic review of preoperative duplex ultrasonography and arteriovenous fistula formation. Journal of Vascular Surgery, 57 (4), 1129-1133.
12. Majid Moini, G. Melville Williams, Mohammad Sadegh Pourabbasi el at (2008). Side-to-side arteriovenous fistula at the elbow with perforating vein ligation. Journal of Vascular Surgery, 47 (6), 1274-1278.