Vascular Access Survival: A Comparison of Simple Autogenous Fistulas, Basilic Vein Transposition Fistulas and Prosthetic Grafts

Authors

  • Veera Suwanruangsri Department of Surgery, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, Thailand
  • Kittiphong Suwattanabunpot Department of Surgery, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, Thailand

Abstract

Objectives: Simple arteriovenous fistula (AVF), basilic vein transposition fistula (TAVF) and prosthetic bridge graft (AVG) provide good vascular access for hemodialysis. The 1- and 2-year results of such vascular access were assessed in this study.

Materials and Methods: From February 2006 to February 2008, 287 hemodialysis access procedures were performed in 274 consecutive patients at Maharat Nakhon Ratchasima Hospital, Bangkok Ratchasima Hospital and Saint Mary Hospital. Follow-up data of 204 procedures (149 AVF, 15 TAVF, and 40 AVG) in 191 patients were available for analysis. Functional patency rates were calculated with Kaplan-Meier method. Differences between patency rates of AVF, TAVF and AVG were determined with the Chi-square test.

Results: The cumulative functional patency rates at 1-year for TAVF, AVF, and AVG groups were 92.86%,89.34% and 83.47% respectively and at 2-year were 92.86%, 89.34% and 74.19% respectively. The cumulative functional patency of the TAVF group was superior to those of the AVF and AVG groups and the patency of the AVF group was superior to the AVG group.

Conclusions: Autogenous AV fistulas (AVF, TAVF) should be the initial access of choice because of their better patency.

References

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Vol. 29 No.1

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Published

2008-03-31

How to Cite

1.
Suwanruangsri V, Suwattanabunpot K. Vascular Access Survival: A Comparison of Simple Autogenous Fistulas, Basilic Vein Transposition Fistulas and Prosthetic Grafts. Thai J Surg [Internet]. 2008 Mar. 31 [cited 2024 Jul. 18];29(1):37-42. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/240872

Issue

Vol. 29 No. 1 (2008): January - March

Section

Original Articles

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Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.