Advantages of anatomical snuff box arteriovenous fistula
Abstract
The purpose of the study is a comparative analysis of the structure of typical complications and fouryear survival of two types of radialcephalic arteriovenous fistula (AVF) in the “anatomical snuffbox” and the Brescia-Cimino type. Materials and methods. 323 patients with endstage renal disease were analyzed, with 358 radialcephalic AVFs were made. Group I — 53 patients with a radialcephalic AVF in an “anatomical snuffbox” (AVFAS) (n = 53). Group II — 270 patients with a radialcephalic AVF of the Brescia-Cimino type (n = 305). The initial cumulative patency of the AVF in both groups was evaluated at 12 and 48 months Kaplan-Meier. Results. In group I, 8 thrombotic complications were revealed. Produced 4 effective reconstructive operations. In group II, 136 complications were identified. Thrombosis — 123 cases. Cumulative patency after 12 and 48 months in group I was 90.33 % and 52.12 %, in group II 76.95 % and 46.69 % (p < 0.05). Conclusion. The radialcephalic AVF formed in the “anatomical snuffbox” has fewer complications (p < 0.05). The primary cumulative patency of these AVFs within 48 months is higher than in the AVF group of the Brescia-Cimino type (p < 0.05).
About the Authors
A. N. Popov
Municipal clinical hospital № 40
Russian Federation
Russian Federation
Ekaterinburg
B. A. Veselov
Clinical Hospital at the station Ekaterinburg — Passajirsky JSC Russian Railways
Russian Federation
Russian Federation
Ekaterinburg
S. V. Corelin
Clinical Hospital at the station Ekaterinburg — Passajirsky JSC Russian Railways
Russian Federation
Russian Federation
Ekaterinburg
E. P. Burleva
Urals State Medical University
Russian Federation
Russian Federation
Ekaterinburg
References
1. Raza M. W., Waqas K., Ayub M. et al. Anatomical Snuff Box Arteriovenous Fistulas for Haemodialysis // Journal of Rawalpindi Medical College (JRMC). 2014. Vol. 18, № 1. P. 80–82.
2. Kirnap M., Tezcaner T., Moray T. G. Secondary Vascular Access Procedures for Hemodialysis After Primary SnuffBox Arterio venous Fistula // J. Clin. Anal. Med. 2017. Vol. 8, № 3. P. 190–194.
3. Letachowicz K., Gołębiowski T., Kusztal M. et al. The snuffbox fistula should be preferred over the wrist arteriovenous fistula // The Fiftysecond European Renal AssociationEuropean Dialysis and Transplant Association Congress, London, United Kingdom. 2015. P. 28–31.
4. Simoni G., Bonalumi U., Civalleri D. et al. Endtoend arteriovenous fistula for chronic haemodialysis: 11 years' experience // Cardiovasc. Surg. 1994. Vol. 2, № 1. P. 63–66.
5. Rooijens P. P., Tordoir J. H., Stijnen T. et al. Radiocephalic wrist arteriovenous fistula for hemodialysis: metaanalysis indicates a high primary failure rate // Eur. J. Vasc. Endovasc. Surg. 2004. Vol. 28, № 6. P. 583–589.
6. Wolowczyk L., Williams A. J., Donovan K. L., Gibbons C. P. The Snuffbox Arteriovenous Fistula for Vascular Access // Eur. J. Vasc. Endovasc. Surg. 2000. Vol. 19, № 1. P. 70–76.
7. K/DOQI Clinical Practice Guidelines and Clinical Practice Recommendations 2006 Updates Hemodialysis adequacy Peritoneal Dialysis Adequacy Vascular Access // Nephrol. Nurs. J. 2006. Vol. 33, № 5. P. 487–488.
8. Gibbons C. P. Primary vascular access // Eur. J. Vasc. Endovasc. Surg. 2006. Vol. 31, № 6. P. 523–529.
9. Мойсюк Я. Г., Беляев Я. Ю. Постоянный сосудистый доступ для гемодиализа. Тверь : Триада, 2004. 152 с.
Review
For citations:
Popov A.N., Veselov B.A., Corelin S.V., Burleva E.P. Advantages of anatomical snuff box arteriovenous fistula. Title in english. 2019;14(1):16-18. (In Russ.)
Views:
31
Email this article 