Yazarlar (3) |
![]() Kastamonu Üniversitesi, Türkiye |
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![]() Kastamonu Üniversitesi, Türkiye |
Özet |
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. 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. 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%. 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 |
Hemodialysis | Vascular patency | Catheters |
Makale Türü | Özgün Makale |
Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
Dergi Adı | INTERNATIONAL ANGIOLOGY |
Dergi ISSN | 0392-9590 Wos Dergi Scopus Dergi |
Dergi Tarandığı Indeksler | SCI |
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 |