[Vascular access for hemodialysis. Clinical experience].
Seventy-nine arteriovenous fistulas for periodic hemodialysis were created in 62 uremic patients: 64 primary vascular accesses and 15 salvage operations for malfunctioning fistulas. Sixty-three distal and 1 proximal arteriovenous fistulas between the radial artery and the cephalic vein, were created as primary vascular access. The utilization time of the primary arteriovenous fistulas was longer than 5 years in 34%, 3-4 years in 25% and 0-2 years in 41% of cases. Eleven fistulas evidenced thrombosis: a salvage operation (resection-anastomosis) was possible for 9 (89%). A salvage operation was possible for 100% of poor flow fistulas. The utilization's time of the salvage fistulas is longer than 5 years in 15%, 3-4 years in 15% and 0-2 years in 70% of cases.
Scattone
S
S
Istituto di Chirurgia, Università degli Studi di Cagliari.
Pintus
M
M
Angioy
F
F
Privitera
L
L
Luridiana
E
E
Neri
A
A
D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017534:Radial Artery / Q000601:surgery; D006435:Renal Dialysis; D012086:Reoperation; D013927:Thrombosis / Q000209:etiology; D013997:Time Factors
Accesso vascolare per emodialisi. Una esperienza clinica.