The Advantages of End-to-Side Arteriovenous Anastomosis over the Other Two Types of Arteriovenous Anastomosis in Dialysis PatientsReportar como inadecuado




The Advantages of End-to-Side Arteriovenous Anastomosis over the Other Two Types of Arteriovenous Anastomosis in Dialysis Patients - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Collegium antropologicum, Vol.32 No.1 May 2008. -

The functional duration of vascular access in dialysis patients depends on the emergence of threatening complications.

Discussions are constantly being held in an attempt to discover their causality and decrease their emergence. In

260 patients undergoing haemodialysis, we have studied the potential existence of a cause-and-effect relation between the

emergence of complications in the vascular access and the applied type of arteriovenous av. anastomosis in the arteriovenous

AV fistula. We have observed the incidence of all complications, both that of the thrombosis incidence as well

as the primary and secondary fistula patency survival. The complications – The examinees with the end-to-end anastomosis

showed the incidence of 8.08%, 6.15% of the patients with the end-to-side anastomosis and 7.31% of the patients

with the side-to-side anastomosis. The differences regarding incidences are statistically significant 

2-test = 29.25;

P=0.0001. Thrombosis – it has been found that thrombosis was the most frequent complication developing in 30.00 %

patients with the end-to-end av. anastomosis, in 2.31% patients with end-to-side av. anastomosis and in 5.56% patients

with side-to-side av. anastomosis. The difference between the highest and the lowest assessment is 27.69%, and it is statistically

relevant 

2-test = 33.920; P=0.0001. The »primary patency« primary survival: within a 6-month interval

following the establishment of vascular access, the first complications arose in 62.50% of patients with end-to-end av.

anastomosis, 10.76% in those with end-to-side av. anastomosis and 18.88% in those with side-to-side av. anastomosis.

The difference between the highest and the lowest assessment is 51.74%, which is statistically significant 

2-test =

49.009; P=0.0001. The secondary patency: 24 months subsequent to the establishment of vascular access, the AV-fistula

was still functional in 52.50% of the patients with end-to-end av. anastomosis, 89.23% in those with end-to-side av. anastomosis

and 81.11% in those with side-to-side av. anastomosis. The difference between the highest and the lowest assessment

is 36.73%, which is also statistically significant 

2-test = 26.579; P=0.0001. According to our research, the end-

-to-side type of av. anastomosis in vascular access provides better results both in relation to the duration as well as the

maintenance of the functionality of the Av-fistula and in the lower incidence of the complications than the other types,

and hence it shows a definite advantage.

hemodialysis; vascular access; AV-fistula; av. anastomosis; complications



Autor: Gordan Galić - Ante Kvesić - Monika Tomić - Zoran Rebac - Zdrinko Brekalo - Vlatka Martinović - Šime Vučkov -

Fuente: http://hrcak.srce.hr/



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