Arteriovenous fistulas constructed using side-to-side anastomosis with ligation and division of distal venous arm; a tertiary care hospital experience

Zafar Ul Ahsan, Abdul Waheed, Faisal A. Zaeem, Farzana Nazir

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background and Objective: The rising prevalence of end-stage renal disease has added to the demands of renal replacement therapy in the form of hemodialysis (HD) in lieu of unmitigated needs of renal transplants. The best available angioaccess for HD is the autogenous arteriovenous fistula. Many techniques for arteriovenous anastomosis have been reported, but there is dearth of data which study the side-to-side arteriovenous anastomosis with concomitant ligation and division of the distal venous arm. This study aimed to describe the clinical outcome of the fistulae constructed with this particular technique. Methods: It is a descriptive and retrospective review in which all patients who underwent the operation with this particular technique in a certain time period were included. The data entry and analysis was done using SPSS 15. Only descriptive statistics are used. Demographic details, primary patency, end point patency and fistula survival were calculated. Results: There were 77 patients, 61 males and 16 females. Radiocephalic arteriovenous anastomosis was constructed in 65 patients, brachiocephalic in 11 patients and brachiobasilic in one patient. Primary patency was 96.1% and end point patency was 90.9% with a median survival of 44 weeks at the end point. Conclusion: This particular technique of fistula construction has excellent patency rates, fistula survival and lesser complications when compared to what has been reported for other methods. It is therefore recommended that the technique of angioaccess reported in this study may be considered as a first option.

Original languageEnglish (US)
Pages (from-to)26-30
Number of pages5
JournalJournal of Vascular Access
Volume11
Issue number1
StatePublished - Jan 1 2010

Fingerprint

Arteriovenous Fistula
Tertiary Healthcare
Tertiary Care Centers
Ligation
Arteriovenous Anastomosis
Arm
Fistula
Renal Dialysis
Renal Replacement Therapy
Survival
Chronic Kidney Failure
Survival Rate
Demography
Transplants
Kidney

All Science Journal Classification (ASJC) codes

  • Surgery
  • Nephrology

Cite this

@article{6b81b1e1007d4cf0ae376df79e38dc7a,
title = "Arteriovenous fistulas constructed using side-to-side anastomosis with ligation and division of distal venous arm; a tertiary care hospital experience",
abstract = "Background and Objective: The rising prevalence of end-stage renal disease has added to the demands of renal replacement therapy in the form of hemodialysis (HD) in lieu of unmitigated needs of renal transplants. The best available angioaccess for HD is the autogenous arteriovenous fistula. Many techniques for arteriovenous anastomosis have been reported, but there is dearth of data which study the side-to-side arteriovenous anastomosis with concomitant ligation and division of the distal venous arm. This study aimed to describe the clinical outcome of the fistulae constructed with this particular technique. Methods: It is a descriptive and retrospective review in which all patients who underwent the operation with this particular technique in a certain time period were included. The data entry and analysis was done using SPSS 15. Only descriptive statistics are used. Demographic details, primary patency, end point patency and fistula survival were calculated. Results: There were 77 patients, 61 males and 16 females. Radiocephalic arteriovenous anastomosis was constructed in 65 patients, brachiocephalic in 11 patients and brachiobasilic in one patient. Primary patency was 96.1{\%} and end point patency was 90.9{\%} with a median survival of 44 weeks at the end point. Conclusion: This particular technique of fistula construction has excellent patency rates, fistula survival and lesser complications when compared to what has been reported for other methods. It is therefore recommended that the technique of angioaccess reported in this study may be considered as a first option.",
author = "Ahsan, {Zafar Ul} and Abdul Waheed and Zaeem, {Faisal A.} and Farzana Nazir",
year = "2010",
month = "1",
day = "1",
language = "English (US)",
volume = "11",
pages = "26--30",
journal = "Journal of Vascular Access",
issn = "1129-7298",
publisher = "Wichtig Publishing",
number = "1",

}

Arteriovenous fistulas constructed using side-to-side anastomosis with ligation and division of distal venous arm; a tertiary care hospital experience. / Ahsan, Zafar Ul; Waheed, Abdul; Zaeem, Faisal A.; Nazir, Farzana.

In: Journal of Vascular Access, Vol. 11, No. 1, 01.01.2010, p. 26-30.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Arteriovenous fistulas constructed using side-to-side anastomosis with ligation and division of distal venous arm; a tertiary care hospital experience

AU - Ahsan, Zafar Ul

AU - Waheed, Abdul

AU - Zaeem, Faisal A.

AU - Nazir, Farzana

PY - 2010/1/1

Y1 - 2010/1/1

N2 - Background and Objective: The rising prevalence of end-stage renal disease has added to the demands of renal replacement therapy in the form of hemodialysis (HD) in lieu of unmitigated needs of renal transplants. The best available angioaccess for HD is the autogenous arteriovenous fistula. Many techniques for arteriovenous anastomosis have been reported, but there is dearth of data which study the side-to-side arteriovenous anastomosis with concomitant ligation and division of the distal venous arm. This study aimed to describe the clinical outcome of the fistulae constructed with this particular technique. Methods: It is a descriptive and retrospective review in which all patients who underwent the operation with this particular technique in a certain time period were included. The data entry and analysis was done using SPSS 15. Only descriptive statistics are used. Demographic details, primary patency, end point patency and fistula survival were calculated. Results: There were 77 patients, 61 males and 16 females. Radiocephalic arteriovenous anastomosis was constructed in 65 patients, brachiocephalic in 11 patients and brachiobasilic in one patient. Primary patency was 96.1% and end point patency was 90.9% with a median survival of 44 weeks at the end point. Conclusion: This particular technique of fistula construction has excellent patency rates, fistula survival and lesser complications when compared to what has been reported for other methods. It is therefore recommended that the technique of angioaccess reported in this study may be considered as a first option.

AB - Background and Objective: The rising prevalence of end-stage renal disease has added to the demands of renal replacement therapy in the form of hemodialysis (HD) in lieu of unmitigated needs of renal transplants. The best available angioaccess for HD is the autogenous arteriovenous fistula. Many techniques for arteriovenous anastomosis have been reported, but there is dearth of data which study the side-to-side arteriovenous anastomosis with concomitant ligation and division of the distal venous arm. This study aimed to describe the clinical outcome of the fistulae constructed with this particular technique. Methods: It is a descriptive and retrospective review in which all patients who underwent the operation with this particular technique in a certain time period were included. The data entry and analysis was done using SPSS 15. Only descriptive statistics are used. Demographic details, primary patency, end point patency and fistula survival were calculated. Results: There were 77 patients, 61 males and 16 females. Radiocephalic arteriovenous anastomosis was constructed in 65 patients, brachiocephalic in 11 patients and brachiobasilic in one patient. Primary patency was 96.1% and end point patency was 90.9% with a median survival of 44 weeks at the end point. Conclusion: This particular technique of fistula construction has excellent patency rates, fistula survival and lesser complications when compared to what has been reported for other methods. It is therefore recommended that the technique of angioaccess reported in this study may be considered as a first option.

UR - http://www.scopus.com/inward/record.url?scp=77951526263&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77951526263&partnerID=8YFLogxK

M3 - Article

C2 - 20119921

AN - SCOPUS:77951526263

VL - 11

SP - 26

EP - 30

JO - Journal of Vascular Access

JF - Journal of Vascular Access

SN - 1129-7298

IS - 1

ER -