Clinical Analysis of Radiocephalic Fistula Using Side-to-side Anastomosis with Distal Cephalic Vein Ligation.
- Author:
Sung Yong HONG
1
;
Young Chul YOON
;
Kwang Hyun CHO
;
Yang Haeng LEE
;
Il Yong HAN
;
Kyung Taek PARK
;
Seong Min KO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Busan Paik Hospital, Inje University College of Medicine, Korea. ppcsyoon@hanmail.net
- Publication Type:Original Article
- Keywords:
Radiocephalic fistula;
Arteriovenous fistula;
Distal cephalic vein ligation;
Side-to-side anastomosis
- MeSH:
Ambulatory Care Facilities;
Arteriovenous Fistula;
Fistula*;
Follow-Up Studies;
Humans;
Hypertension;
Internal Medicine;
Ligation*;
Postoperative Complications;
Renal Dialysis;
Retrospective Studies;
Veins*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2013;46(6):439-443
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: The surgically created arteriovenous fistula has recently been recommended as the best available angioaccess for hemodialysis. Therefore, in this study, we carried out a clinical analysis on surgical procedures in the ligation and division of a distal vein to achieve similar effects as those of vein end-to-arterial side after side-to-side anastomosis. METHODS: We retrospectively reviewed the clinical data of 113 patients who came for an outpatient clinic follow-up to the department of internal medicine of our hospital; these patients were among the 125 patients who underwent radiocephalic arteriovenous fistula (side-to-side anastomosis with distal vein ligation and division) in our hospital in the period from January 2006 to December 2010. RESULTS: The patency rate showed no statistical significance with respect to sex (p=0.775), age (p=0.775), hypertension (p=0.262), diabetes (p=0.929), and cardio-neurovascular disease (p=0.717). Patency rates were 96% for the first month, 93% for the first year, and 90% for the second year for the radiocephalic arteriovenous fistula (side-to-side anastomosis with distal vein ligation and division) performed on the wrist. CONCLUSION: The patency rates revealed favorable results and few postoperative complications as compared to those of previous reports. Therefore, radiocephalic fistula using side-to-side anastomosis with distal cephalic vein ligation is considered a recommendable surgical procedure in the distal part for the hemodialysis of CRF patients.
