VEIN DIAMETER AS AN INDICATOR OF BETTER OUTCOME OF BRACHIOCEPHALIC ARTERIO- VENOUS FISTULA-- A Retrospective study

DR. SHEIL AVNEESH; Dr. RUCHI SINGH

Volume : VII, Issue : VI, June - 2018

VEIN DIAMETER AS AN INDICATOR OF BETTER OUTCOME OF BRACHIOCEPHALIC ARTERIO- VENOUS FISTULA-- A Retrospective study

Dr. Sheil Avneesh, Dr. Ruchi Singh

Abstract :

Objectives:Preoperative assessment of arteries and veins by duplex ultrasound is advocated for creation of primaryarteriovenous fistula (AVF) for hemodialysis access, but reliable diameter criteria is still debatable . In this study we have tried to determine the diameters and their outcome for fistula maturation in initial hemodialysis access.

Methods:All patients undergoing AVF creation from JANUARY 2016 to APRIL 2018 were retrospectively reviewed. We analyzed fistula type and functional maturation rates.

Results:From January 2016 to April 2018, 512 AVF procedures were performed. Out of which 250 Wrist radiocephalic AVF, 220 achiocephalic AVF had adequate follow–up and were included in the analysis. RCAVF, and BCAVF had 60% and 90% maturation rates, respectively.

Conclusion:Qualitative study suggested that both the type of fistula type and vein size significantly affected maturation.