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Comparing the saphenous vein with the Gore-tex bridge fistula in thigh for chronic hemodialysis

 منبع : Eur Surg (2007) 39/6: 355–358 DOI 10.1007/s10353-007-0365-x # Springer-Verlag 2007

 نويسنده : A.M.Tofigh et al    ایمیل :

 نوشته شده در تاريخ : 1390/11/18  

Summary. Background: Performing chronic hemodialysis in patients suffering from end stage renal disease needs a suitable vascular access like A–V *stula in upper limbs, bridge *stula in upper or lower limbs, and use of permanent and temporary catheters. The purpose of this study is to compare the saphenous vein loop *stula as a venous autograft versus using the synthetic Gore-tex vascular graft for creating loop A–V *stula in thigh for hemodialysis.

Methods: In the context of a prospective randomized study, seventy patients needing bridge *stula for dialysis access were randomly divided into two groups. We performed the loop saphenous A-V *stula in the test group and the Gore-tex loop bridge *stula in the control group. An assessment was made of the function criteria (*stula thrill and murmur) and complications (infection and thrombosis) in planned intervals. At the end of a year of follow-up the *ow rate of all *stulas were assessed by means of Doppler sonography. These data were compared with each other.

Results: Comparing the function criteria (fistula murmur and thrill) of the loop saphenous A–V *stula and the Goretex method showed no signi*cant differences (p<0.8). There was no significant difference between the two groups in thrombosis (p<0.8). The infection rate of the Gore-tex method was signi*cantly high (p<0.05). However, the *ow rates showed no signi*cant differences (p<0.8).

Conclusions: Essentially we showed that arteriovenous *stula was an acceptable alternative for arteriovenous graft in the thigh for performing chronic hemodialysis and that saphenous vein loop arteriovenous *stula was superior to Gore-tex loop arteriovenous graft from some aspects.

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