Volume 13, Issue 1 (spring 2005)
JSSU 2005, 13(1): 16-20 |
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Safaie M, Moieni E, Goharian V. Efficacy of Sapheno-Femoral A-V Fistula in Cronic Renal Failure Patients Undergoing Hemodialysis. JSSU 2005; 13 (1) :16-20
URL: http://jssu.ssu.ac.ir/article-1-1347-en.html
URL: http://jssu.ssu.ac.ir/article-1-1347-en.html
Abstract: (11965 Views)
Introduction: To describe the outcome of the sapheno-femoral fistula as an alternative blood access site for maintenance hemodialysis in a prospective cohort of patients with end - stage renal failure.
Methods: Twenty-two patients with vascular access failure in the arms were admitted for establishing sapheno-femoral fistula as a puncture site for hemodialysis. The major saphenous vein was exposed at the junction site with femoral vein and its tributary veins were ligated . The saphenous vein was isolated and mobilized throughout the thigh and end to side anastomosis accomplished with the superficial femoral artery by a running 6-0 prolene suture after conducting the vein through a subcutaneous tunnel.
Results: Failure rate of saphenofemoral fistula was 22. 7% at two years follow up. Mean ± SE survival of fistula was 16.4+/- 2.75 months. Significant survival difference wasn’t seen between two sexes. Rate of wound infection and chronic pain of surgery site was similar( 9.1%).
Conclusions: Two-year survival rate of 77% and morbidity less than 10% leads to suggestion of saphenofemoral fistula as an alternative for upper extremity fistulas in end- stage renal failure patients
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