Turkish Journal of Medical Sciences
Abstract
Background/aim: The objective of this study is to report our experience with surgical revision of dialysis access-induced ischemia syndrome. Materials and 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. Conclusion: We think that arterial pressure-controlled surgical revision is an effective and safe technique in patients with fistula-related hand ischemia.
DOI
10.3906/sag-1406-71
Keywords
Hemodialysis, arteriovenous fistula, hand ischemia, banding technique
First Page
972
Last Page
976
Recommended Citation
HALICI, Ü, KAYGIN, M. A, DAĞ, Ö, AYDIN, A, LİMANDAL, H. K, ARSLAN, Ü, ÇALIK, E. S, & ERKUT, B (2015). Evaluation of patency following revision technique ofhigh-velocity arteriovenous fistula. Turkish Journal of Medical Sciences 45 (4): 972-976. https://doi.org/10.3906/sag-1406-71