Year: 2004
Type: article
Abstract: This prospective study was undertaken between May and October 1998 with follow-up until January 2002. There were eleven patients on haemodialysis with poor upper limb veins and previously failed access procedures. There were seven females and four males, median age 72 ^ 16.4. Three patients were diabetic; one was on long-term steroids and one on warfarin. Three patients had had failed renal transplants and one had a failing graft. Eleven saphenous loops were used to fashion seven forearm and four thigh AV fistulae under general anaesthesia. Satisfactory AV fistula formation was confirmed by palpating a good thrill in the loop before closure of the wound. Flow rates are not routinely measured intraoperatively in our centre. Dialysis was commenced six weeks after surgery in 10 out of 11 patients. In one patient the fistula failed 4 weeks before starting dialysis. Patients were followed-up in the dialysis unit and reduced flow rate or complications initiated intervention or revision procedures. Results
Source: EJVES Extra
Authors: V.K. Shankar, A. Handa
Institution: John Radcliffe Hospital
Language: Norwegian
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W2075604530