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ORIGINAL ARTICLE
Year : 2020  |  Volume : 26  |  Issue : 2  |  Page : 151-153

Patency and complication rates of arteriovenous fistula created for renal replacement therapy


Department of General Surgery, Government Medical College, Kozhikode, Kerala, India

Correspondence Address:
Dr. Yalini Palaniswamy
30/1, Kempaih Gowder Colony, Karamadai, Coimbatore - 641 104, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ksj.ksj_16_20

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Introduction: There are many choices for an areteriovenous (AV) access such as central venous catheters used in emergency basis, arteriovenous fistula (AVF), prosthetic AV grafts and vein interposition. Of these, AVF are used the most. It is very essential for surgeon to know about the merits and demerits of the same. Hence, this study was undertaken as a humble attempt to study the patency and complication rates of AVF. Materials and Methods: Eighty patients with chronic kidney disease who had an AV access created for dialysis in the given time period were included. They were assessed for fistula patency following the surgery at 1st month and 6 months clinically and correlated with pre-operative parameters and demographic profile. Results: Patency of AVF at 1 month was 88% and at 6 months was 85%. There was a negative correlation between diabetics and patency which is statistically significant. There was a positive correlation between gender and patency. Males (90%) had patency, whereas 30% of females did not have patency. There was a strong association between diabetics and infection which was statistically significant. Conclusions: Autogenous AVFs are a safe durable option for renal replacement therapy and with due care, complication rates and patency can be maintained with international standards.


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