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Journals / Damar Cerrahi Dergisi / 2018 / Cilt: 27 - Sayı: 2

Arteriovenous fistula creation using the Brescia-Cimino technique compared to the fish-mouth anastomosis technique for hemodialysis access

Hemodiyaliz erişimi için balık ağzı anastomoz tekniğine kıyasla Brescia-Cimino tekniği ile arteriyovenöz fistül oluşturulması

Erdinç EROĞLU
Bülent MEŞE
Pages
65–70
Publication Date
2022-10-10
DOI
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The mean arteriovenous fistulaflow rates at Week 4 were 547±149 mL/min in Group 1 and 745±108 mL/min in Group 2 (p

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Objective & Hypothesis:Objectives: This study aims to compare the success rates of two different anastomotic techniques using Doppler ultrasound (US) in patientsundergoing forearm arteriovenous fistula creation surgery for hemodialysis access.Patients and methods: Between January 2010 and March 2011, 40 patients (8 males, 32 females; mean age 52.7 years; range, 28 to 63 years)who underwent the forearm arteriovenous fistula procedure due to end-stage renal disease were included in this study.
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Key Findings & Data:Group 1 included 20 patients operated using the Brescia-Ciminotechnique, while Group 2 included 20 patients operated using the fish-mouth technique.
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Conclusion & Impact:The mean arteriovenous fistulaflow rates at Week 4 were 547±149 mL/min in Group 1 and 745±108 mL/min in Group 2 (p
🔬Design:Research Article
📍Scope:2010 Verileri
⚙️Variables:Domain Parameters

Abstract

Objectives: This study aims to compare the success rates of two different anastomotic techniques using Doppler ultrasound (US) in patientsundergoing forearm arteriovenous fistula creation surgery for hemodialysis access.Patients and methods: Between January 2010 and March 2011, 40 patients (8 males, 32 females; mean age 52.7 years; range, 28 to 63 years)who underwent the forearm arteriovenous fistula procedure due to end-stage renal disease were included in this study. The patients weredivided into two groups, depending on the surgical technique employed. Group 1 included 20 patients operated using the Brescia-Ciminotechnique, while Group 2 included 20 patients operated using the fish-mouth technique. The diameters of the radial artery and cephalicvein were measured pre- and at postoperative Days 1, 7, and 30. The arteriovenous fistula flow rate was measured using Doppler US atpostoperative Day 30.Results: The mean preoperative cephalic vein diameters were 2.48±0.4 mm in Group 1 and 2.03±0.4 mm in Group 2 (p=0.004). The meanpreoperative radial artery diameters were 2.46±0.5 mm in Group 1 and 2.04±0.2 mm in Group 2 (p=0.003). The mean arteriovenous fistulaflow rates at Week 4 were 547±149 mL/min in Group 1 and 745±108 mL/min in Group 2 (p

Özet

Amaç: Bu çalışmada hemodiyaliz erişimi için ön kolda arteriyovenöz fistül oluşturulan hastalarda Doppler ultrason (US) ile iki farklı anastomoz tekniğinin başarı oranı karşılaştırıldı. Hastalar ve Yöntemler: Bu çalışmaya Ocak 2010 - Mart 2011 tarihleri arasında son dönem böbrek yetmezliği nedeniyle ön kolda arteriyovenöz fistül ameliyatı yapılan 40 hasta (8 erkek, 32 kadın; ort. yaş 52.7 yıl; dağılım, 28-63 yıl) alındı. Hastalar uygulanan cerrahi tekniğe göre iki gruba ayrıldı. Grup 1’e Brescia-Cimino tekniği uygulanan 20 hasta alınırken, Grup 2’ye balık ağzı tekniği uygulanan 20 hasta alındı. Ameliyattan önce ve sonrasında 1, 7 ve 30. günlerde radiyal arter ve sefalik ven çapları ölçüldü. Arteriyovenöz fistül debileri, ameliyattan sonra 30. günde Doppler US ile ölçüldü. Bulgular: Ameliyat öncesi ortalama sefalik ven çapı Grup 1’de 2.48±0.4 mm, Grup 2’de 2.03±0.4 mm olarak bulundu (p=0.004). Ameliyat öncesi ortalama radiyal arter çapı Grup 1’de 2.46±0.5 mm, Grup 2’de 2.04±0.2 mm olarak bulundu (p=0.003). Hastaların dördüncü haftada arteriyovenöz fistül debileri Doppler US ile Grup 1 ve Grup 2’de sırasıyla 547±149 mL/dk. ve 745±108 mL/dk. olarak ölçüldü (p

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Cite This Article

EROĞLU, E., MEŞE, B. (2022). Arteriovenous fistula creation using the Brescia-Cimino technique compared to the fish-mouth anastomosis technique for hemodialysis access. Damar Cerrahi Dergisi, Cilt: 27 - Sayı: 2, 65–70. https://ajindex.com/articles/486621

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