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Vascular and Endovascular Surgery
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Primary Radiocephalic Arteriovenous Fistulas for Hemodialysis

Halil Bilgel

Departments of General Surgery and Nephrology, University of Uludag, Bursa, Thrkey

Nusret Korun

Departments of General Surgery and Nephrology, University of Uludag, Bursa, Thrkey

Sadik Kilicturgay

Departments of General Surgery and Nephrology, University of Uludag, Bursa, Thrkey

Yilmaz Ozen

Departments of General Surgery and Nephrology, University of Uludag, Bursa, Thrkey

Mete Cengiz

Departments of General Surgery and Nephrology, University of Uludag, Bursa, Thrkey

Mustafa Yurtkuran

Departments of General Surgery and Nephrology, University of Uludag, Bursa, Thrkey

The authors review their experience with 318 direct radiocephalic arteriovenous fistulas created for chronic maintenance hemodialysis over the past six years.

Thirty-five of the fistulas (11 %) never functioned or thrombosed within the first month. The early failure rate was significantly different between groups older and younger than fifty years of age (p < 0.05). Moreover, the early thrombosis rate was related to the suture techniques used: 8.62% for the interrupted suture group and 20.63% for the running suture group (p < 0.05).

Average patency duration for still functioning fistulas in 120 patients is 38.8 months; for the 58 patients who had late failure it was 14.9 months.

Vascular and Endovascular Surgery, Vol. 26, No. 4, 313-316 (1992)
DOI: 10.1177/153857449202600410
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