Saphenofemoral arteriovenous fistula as hemodialysis access

Saphenofemoral arteriovenous fistula as hemodialysis access

Author Correa, Joao A. Google Scholar
Abreu, Luiz Carlos de Google Scholar
Pires, Adilson C. Google Scholar
Breda, João Roberto Autor UNIFESP Google Scholar
Yamazaki, Yumiko R. Google Scholar
Fioretti, Alexandre C. Google Scholar
Valenti, Vitor Engrácia Autor UNIFESP Google Scholar
Vanderlei, Luiz Carlos M. Google Scholar
Macedo Junior, Hugo Google Scholar
Colombari, Eduardo Autor UNIFESP Google Scholar
Miranda Junior, Fausto Autor UNIFESP Google Scholar
Institution Fac Med ABC
Universidade Federal de São Paulo (UNIFESP)
Univ Estadual Paulista UNESP
Abstract Background: An upper limb arteriovenous (AV) fistula is the access of choice for haemodialysis (HD). There have been few reports of saphenofemoral AV fistulas (SFAVF) over the last 10-20 years because of previous suggestions of poor patencies and needling difficulties. Here, we describe our clinical experience with SFAVF.Methods: SFAVFs were evaluated using the following variables: immediate results, early and late complications, intraoperative and postoperative complications (up to day 30), efficiency of the fistula after the onset of needling and complications associated to its use.Results: Fifty-six SFAVF fistulas were created in 48 patients. Eight patients had two fistulas: 8 patent (16%), 10 transplanted (20%), 12 deaths (24%), 1 low flow (2%) and 20 thrombosis (39%) (first two months of preparation). One patient had severe hypotension during surgery, which caused thrombosis of the fistula, which was successfully thrombectomised, four thrombosed fistulae were successfully thrombectomised and revised on the first postoperative day. After 59 months of follow-up, primary patency was 44%.Conclusion: SFAVF is an adequate alternative for patients without the possibility for other access in the upper limbs, allowing efficient dialysis with good long-term patency with a low complication rate.
Language English
Sponsor Nucleo de Estudos, Pesquisas e Assessoria a Saude da Faculdade de Medicina do ABC (NEPAS-FMABC)
Date 2010-10-18
Published in Bmc Surgery. London: Biomed Central Ltd, v. 10, 7 p., 2010.
ISSN 1471-2482 (Sherpa/Romeo, impact factor)
Publisher Biomed Central Ltd
Extent 7
Origin http://dx.doi.org/10.1186/1471-2482-10-28
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000296432400001
URI http://repositorio.unifesp.br/handle/11600/32994

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