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Evaluation of arteriovenous fistulas made with the diamond-shaped anastomosis technique

Muhip Kanko, Cenk Şen, Şadan Yavuz, Cigdem Unal, Ahmet Aksoy, Turan Berki

Med Sci Monit 2012; 18(9): MT67-70

DOI: 10.12659/MSM.883337

Available online: 2012-08-30

Published: 2012-08-30

Background:    Obtaining vascular access suitable for long-term use in hemodialysis patients is of utmost importance. In these patients, autogenous methods are generally used for access. There are various techniques for obtaining autogenous access in hemodialysis patients.
    Material/Methods:    Our objective was to evaluate the outcomes of the “diamond-shaped anastomosis” technique used as a surgical technique during the creation of arteriovenous fistulas in patients with chronic renal failure. We randomly selected and retrospectively examined 67 patients on whom the “diamond-shaped anastomosis” technique had been performed.
    Results:    We found an 89% patency rate in the 67 randomly selected patients on whom we applied this technique in the early stage (first 6 months).
    Conclusions:    Maintaining fistula patency in the early postoperative period is important in fistula functioning. The diamond-shaped anastomosis is a simple technique with proven efficiency. This method can be applied in all situations and contributes to postoperative early stage latency.

Keywords: Renal Dialysis - methods, Arteriovenous Shunt, Surgical - standards, Adult, Vascular Patency - physiology