Abstract:

Objective: The recent period of kidney failure is a major health problem in our country as well as in the world. Dialysis is inevitable so that these patients can survive their lives. Hemodialysis requires a vascular access path to meet the needs of dialytics. Arteriovenous fistules are highlighted with the least complications among these ways of access, but also with the longest period of transparency. Method: Between January 2016 and January 2020, 406 patients were examined for the purpose of opening arteriovenous fistles for hemodialysis. 213 patients opened by radiosphalic fistule, 104 patients opened by brakiosphalic fistule, group II, 89 patients previously opened by fistule revised were also named group III. The 1 year openness rates of patients taken for each of the three groups, the associated diseases and the relationship with gender of these openness rates were statistically studied. The findings: When the groups were studied, it was found that there was a statistically meaningful relationship between diabetes in Group I and a 1 year stop (p<0.05). It was found that in Group II there was a statistically meaningful relationship between diabetes and 1 year-long retention rates (p<0.05). We observed that brakiosphalic fistules, compared to other groups, had significantly good results in terms of 1 year's transparency rates (p<0.05). The result: As cardiovascular surgeons, we should make our efforts to make the most efficient use of this path of access, which is vital for patients. We have a limited number of surgical chances to start opening the fistule without considering it, and in case the fistule is locked, we must definitely contribute to the extension of the open survival periods by giving the chance of revision.

Keywords: