Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Clinical Analysis of Arteriovenous Fistula Formation for CRF Patiients

만성 신부전증 환자에서의 동정맥루조성술

  • Kim, Eung-Joong (Department of Thoracic and Cardiovascular Surgery, Kangdong Sacred Heart Hospital, Hallym University) ;
  • Lee, Young (Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital) ;
  • Park, Jin-Seok (Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital)
  • 김응중 (한림대학교 강동성심병원 흉부외과) ;
  • 이영 (충남대학교병원 흉부외과) ;
  • 박진석 (충남대학교병원 흉부외과)
  • Published : 1994.08.01
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Abstract

Because the number of patients who require maintenance hemodialysis is increasing in number recently, angioaccess has become important to many vascular surgeons participating in the management of such patients.The authors created 269 arteriovenous fistulas[AVF] for angioaccess in 229 patients with chronic renal failure[CRF] at the Department of Thoracic and Cardiovascular Surgery in Chungnam National University Hospital during the period from August 1990 to March 1993. We analyzed the results of 260 operations for 220 patients except 9 patients who were lost during the follow up period. We performed snuffbox AVF in 171 cases, classic radiocephalic AVF in 46 cases, direct AVF at other site in 5 cases, forearm Gore-Tex AVF in 29 cases, and upper arm Gore-Tex AVF in 9 cases. We experienced 13 cases of operative failures, 11 cases of early complications, and 60 cases of late complications including obstructions during follow-up period. The 1 year, 2 year and 3 year patency rates of snuffbox AVF[Group 1], classic radiocephalic AVF[Group 2], and Gore-Tex AVF[Group 3] are like followings; 89, 84, 76% in group 1, 84, 75, 68% in group 2, and 79, 66, 55% in group 3. It showed a statistically significant difference between group 1, 2 and group 3.

Keywords

References

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