Outcomes of End to side Radio–cephalic AV fistula formation for vascular access in patients on dialysis: our experience

Babar Zargar; Aaliya Tabasum; Heena Masrat

Volume : IX, Issue : IV, April - 2019

Outcomes of End to side Radio–cephalic AV fistula formation for vascular access in patients on dialysis: our experience

Babar Zargar, Aaliya Tabasum, Heena Masrat

Abstract :

Introduction: Despite all the recent advances in the field of Medicine, yet hemodialysis is still the mainstay in the treatment of chronic renal failure patients. An appropriate vascular access is of utmost importance in patients on regular dialysis and the best permanent access is an Arterio–venous fistula preferably in the distal forearm. Objectives: To study the feasibility, efficacy and complication rates associated with end to side technique of Radio–cephalic AV fistula formation. Patients and Methods: This study comprised of 186 patients of chronic renal disease on regular dialysis who were operated for Radio–cephalic AV fistula replacement during period of 2 years from October 2016 to October 2018. All the AV fistula were formed using end to side venous patch overlay technique. All the patients were followed up regularly for the first 6 months to access patency and look for any complications. Result: Out of the 186 patients who underwent the surgery , by end to side technique, 16(8.6%) patients had non–functional AV fistula at 6 months. Thrombosis was the cause in 14 AVF failures whereas 2 AVF failures were due to proximal venous system. Conclusion: End to side AV fistula formation is well established technique with excellent efficacy with acceptable complication rate.