title: Evaluation of patency following revision technique of high-velocity arteriovenous fistula.
abstract: OBJECTIVE
  The objective of this study is to report our experience with surgical revision of dialysis access-induced ischemia syndrome.
  
  
  METHODS
  Between January 2005 and July 2013, 1254 patients underwent arteriovenous fistula operation, and 86 of them [53 males, mean age: 55 ± 25 (range: 25 to 75) years; 33 females, mean age: 50 ± 20 (range: 30 to 70) years] subsequently developed steal syndrome. These patients were treated with arterial pressure-controlled polytetrafluoroethylene banding or constriction with polypropylene suturing technique. Patients were followed in the outpatient clinic at regular intervals.
  
  
  RESULTS
  Symptoms were not relieved during the first 15 days in 4 patients; therefore, reintervention was performed. Thrombosis occurred in one patient after reintervention. No early or late complications were detected in other patients, and fistulae were suitable for hemodialysis. Patency rates at 6 and 12 months were 96% and 92%, respectively, and thrombosis rates were 7% and 9%. There was no hospital mortality in our study, but one patient died from unrelated causes and two other patients quit follow-up after 6 months.
  
  
  CONCLUSIONS
  We think that arterial pressure-controlled surgical revision is an effective and safe technique in patients with fistula-related hand ischemia.
authors.forename: Ümit
authors.initials: Ü
authors.lastname: Halici
authors.forename: Mehmet Ali
authors.initials: MA
authors.lastname: Kaygin
authors.forename: Ozgür
authors.initials: O
authors.lastname: Dağ
authors.forename: Ahmet
authors.initials: A
authors.lastname: Aydin
authors.forename: Hüsnü Kamil
authors.initials: HK
authors.lastname: Limandal
authors.forename: Ümit
authors.initials: Ü
authors.lastname: Arslan
authors.forename: Eyüp Serhat
authors.initials: ES
authors.lastname: Çalik
authors.forename: Bilgehan
authors.initials: B
authors.lastname: Erkut
mesh_terms: D000328:Adult; D000368:Aged; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006225:Hand / Q000098:blood supply*; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene / Q000627:therapeutic use; D006435:Renal Dialysis / Q000379:methods; D012086:Reoperation / Q000295:instrumentation / Q000379:methods; D012189:Retrospective Studies; D013536:Suture Techniques; D013927:Thrombosis / Q000209:etiology; D016896:Treatment Outcome; D014421:Turkey; D014654:Vascular Patency
chemical_list: D011138:Polytetrafluoroethylene