| Yazarlar (3) |
Güler G. Ersoy
Kastamonu University, Turkey |
|
Burak Tamtekin
Kastamonu University, Turkey |
Dr. Öğr. Üyesi İsmail TAŞKENT
Kastamonu Üniversitesi, Türkiye |
| Özet |
| Background: An effectively functioning arteriovenous fistula (AVF) is vital for end-stage renal disease patients. This study aims to evaluate the effects of Fogarty® balloon catheter dilation on creating an effectively functioning AVF. Methods: This retrospective cohort study was conducted at our clinic between 2020 and 2022. A total of 120 patients underwent arteriovenous fistula (AVF) creation with intraoperative Fogarty® balloon catheter dilation. Inclusion criteria required the presence of a palpable radial artery and superficial vein in the non-dominant arm, which was confirmed via Doppler ultrasound when necessary. The surgical approach involved side-to-side anastomosis between the radial artery and cephalic vein, followed by intraoperative dilation of the artery, vein, and anastomotic area using a Fogarty® balloon catheter after completion of the anastomosis. Results: The study included 120 patients aged between 26 and 89 years, with a nearly equal gender distribution (57 females, 47.5%; and 63 males, 52.5%). The success rate of arteriovenous fistulas (AVFs) was evaluated according to the number of patients who were able to start adequate hemodialysis 6 weeks after surgery. At 6-week follow-up, 114 patients successfully started hemodialysis through these AVFs. In contrast, six patients could not obtain an adequate AVF for effective hemodialysis. As a result, the overall success rate was calculated as 95%. Conclusions: This study suggests that intraoperative Fogarty balloon dilatation may contribute positively to the success rate of AVF creation. The findings indicate that this technique could be considered as a potential intraoperative strategy to optimize AVF outcomes, especially in patients with challenging vascular anatomy or a history of AVF failure. |
| Anahtar Kelimeler |
| Catheters | Hemodialysis | Vascular patency |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
| Dergi Adı | International Angiology |
| Dergi ISSN | 0392-9590 |
| Dergi Grubu | Q3 |
| Makale Dili | İngilizce |
| Basım Tarihi | 12-2024 |
| Cilt No | 43 |
| Sayı | 6 |
| Sayfalar | 629 / 635 |
| Doi Numarası | 10.23736/S0392-9590.24.05351-3 |
| Atıf Sayıları |
