Retrospective analysis of 4500 AV fistulas as vascular access for haemodialysis.

Dr. Ajitsingh P Chadha; Dr. Nehadeepkaur Ajitsingh Chadha

Volume : IX, Issue : VII, July - 2020

Retrospective analysis of 4500 AV fistulas as vascular access for haemodialysis.

Dr. Ajitsingh P Chadha, Dr. Nehadeepkaur Ajitsingh Chadha

Abstract :

This study describes our experience of arteriovenous fistula (AVF) from Jan.1992 to Sept 2015. A total of 4500 AVFs were created in 4200 patients. All patients were operated by single surgeon .The youngest patient was 8 year old and the oldest was 90 year old. 95% of the patients were operated at wrist with end to end anastomosis of redial artery and dorsal anch of cephalic vein. Remaining 5% were operated with high radiocephalic end to end anastomosis. Primary patency was 95% for the AVFs operated at wrist. Patency rate for high forearm radiocephalic fistulas with end to end anastomosis was 99%. Total complications were found in 10 % cases. The end to end anastomosis seems to be preferable to other techniques.