[Arteriovenous shunts used in hemodialysis. A retrospective study of the results in 86 patients treated during a 5-year period].
During a period of five years, 104 arterio-venous fistulas and 14 PTFE-grafts were used in the construction of vascular access for long term hemodialysis in 86 patients with end-stage renal disease. The overall cumulative patency rate is 71% at one year, 64% at two years and 47% at five years. Sex and age cannot be shown to influence the patency rates. The vascular access sites in patients with chronic glomerulonephritis have significantly higher patency rates than the vascular access sites in patients with chronic pyelonephritis. We are unable to show any difference in the patency rates of vascular access sites salvaged by revision compared with patency rate of the remaining access sites. The following conclusions are drawn: 1) In the majority of patients undergoing the first vascular access operations, an arterio-venous fistula is the procedure of choice. 2) Advanced age does not itself contraindicate the construction of an arterio-venous fistula. 3) Reoperation should be considered, if dialysis is no longer possible.
Jensen
B V
BV
Aalborg Sygehus, afsnit Syd. thoraxkirurgisk afdeling T.
Vestersgaard-Andersen
T B
TB
Nielsen
P H
PH
D000293:Adolescent; D000328:Adult; D000368:Aged; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects; D001807:Blood Vessel Prosthesis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D006435:Renal Dialysis; D012189:Retrospective Studies
D011138:Polytetrafluoroethylene
Arteriovenøse shunter til haemodialysebrug. En retrospektiv opgørelse af resultater hos 86 patienter behandlet over en periode på 5 år.