Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080



Turkish Journal of Vascular Surgery 2007 , Vol 16 , Issue 2
ARTERIOVENOUS FISTULAS MADE IN OUR PEDIATRIC HAEMODIALYSIS PATIENTS
Mine YILMAZ DEMİRBAŞ1, Zeki TALAS1, Cengiz CANDAN2, A. Kürşat BOZKURT1
1İÜ. Cerrahpaşa Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, İstanbul
2İÜ. Cerrahpaşa Tıp Fakültesi, Çocuk Nefrolojisi Bilim Dalı, İstanbul
Background: The aim of this study is to evaluate the functions of arteriovenous (A-V) fistulas carried out in pediatric haemodialysis patients by a single surgeon.

Methods: The registries of the pediatric subjects, in whom A-V fistulae were carried out and followed up by prospectively between 1994 and 2006 were evaluated. Age, weight, gender, functioning time and complications of A-V fistulae were searched.

Results: The study group included 41 patients, 18 were male and 23 were female, their mean age was 14.03±3.78, and mean weight was 30.44±13.63 at the time of access. A total of 54 A-V fistulae were performed on, while 6 of them had prostetic grafts. Seven of them (12.96%) never functioned and 47 (87.03%) have been functioning. Mean function time of the functioning A-V fistulae were 13.63±16.01 months. No significant relationship was found between the funtioning times of the A-V fistulae and weights of the patients (p= 0,053), but there was a significant relationship between the funtioning times of A-V fistulae and ages (p=0.007) of the subjects.

Conclusion: A-V fistulae carried out by a "specialised experienced surgical team" constitutes an effective therapeutic method for haemodialysis in the pediatric patients. Durable patency can be achieved by a careful follow-up when the difficulties of generating an A-V fistula are taken into consideration in pediatric population. (Turkish J Vasc Sur 2007;16(2):19-24) Keywords : Chronic renal failure, pediatric, haemodialysis, arteriovenous fistula

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