Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Breast Surgery
- Urology
- Endocrine Surgery
- Vascular Surgery
- Obstetrics Surgery
- Emergency Surgery
- Colon and Rectal Surgery
- Pediatric Surgery
Abstract
Citation: Clin Surg. 2018;3(1):2132.Research Article | Open Access
Evaluating the Effectiveness of Arterio Venous Fistula Creation Strategy in Diabetics
Janeckova J, Bachleda P and Utikal P
Department of Surgery II - Vascular and Transplantation Surgery, University Hospital Olomouc, Czech Republic
*Correspondance to: Jana Janeckova
PDF Full Text DOI: 10.25107/2474-1647.2132
Abstract
Introduction: The Arterio Venous Fistula (AVF) approach is preferred to dialysis in patients withchronic renal insufficiency. Radio Cephalic Fistula (AVF RC) should first be created. A negative effect of diabetics on the remodelling and maturity of the AVF is described in diabetics. According to some literature, primary arteriovenous fistula creation at the elbow level should lead to better results.Aim: To evaluate the effectiveness of creation and long-term patency of AVF in diabetics that was operated on at the II. Department of Surgery at the University Hospital in Olomouc from 2010- 2017.Results: During 1/2010 to 12/2017 265 vascular accesses for dialysis were created in diabetic patients. In 26 cases (12.7%), there was early failure in all arteriovenous fistulas. For early failure (30% of AVF RC creation), eighteen arteriovenous fistula at the elbow level were created in the second period. These AVFs were used for haemodialysis longer than 12 months in 82% of the cases. The primary patency of all vascular access created in diabetics was 78.5%, 70.4% and 64.1% after 12, 24 and 36 months. The primary assisted patency of all vascular access created was 82.5%, 74.4% and 66.1% after 12, 24 and 36 months. Secondary patency was 87.1%, 78.5% and 75.9% after 12, 24 and 36 months.Conclusion: We have confirmed worse AVF RC results in diabetics. Consequent arteriovenous fistula creation at the elbow level has good long-term results. The strategy of primary creation of arteriovenous fistula at the elbow level seems beneficial in selected groups; it leads to decreasing the number of other reoperations.
Keywords
Hemodialysis; Arteriovenous fistula; Arterio venous graft; Diabetes mellitus
Cite the article
Janeckova J, Bachleda P, Utikal P. Evaluating the Effectiveness of Arterio Venous Fistula Creation Strategy in Diabetics. Clin Surg. 2018; 3: 2132.
