초록접수 현황
| 14F-091 | 포럼 발표 |
A Novel Technique of Vascular Anastomosis to Prevent Juxta-anastomotic Stenosis Following Radiocephalic Arteriovenous Fistula Creation
김난열, 강승구, 김도완, 김순진, 이교선, 윤주식, 정인석, 송상윤, 나국주, 안병희, 오봉석, 김상형, 오상기
전남대학교 의과대학 전남대학교병원 흉부외과학교실
Background : Juxta-anastomotic stenosis (JAS) is one of the predominant causes of arteriovenous fistula (AVF) failure, with the reported incidence as high as 65%. We hypothesized that technical modification to alter the outflow vein configuration using the rotation flap angioplasty (RFA) with branching vein would prevent JAS and improve AVF maturation.
Methods : The outcomes of consecutive distal radiocephalic (RC) fistulas performed by a single operator was reviewed by retrospectively. Traditional end-to-side technique (ETS), and RFA with branching vein in RC AVF created in 125 consecutive patients between 1/2013 and 8/2014 were compared. AVF maturation was evaluated by ultrasonography at 2 to 4 weeks and use for dialysis.
Results : The mean age of the study group was 55.1±20.7 years, the male-to-female ratio was 64:61. The primary disease for renal failure was hypertension (54; 43.2%) and diabetes (51; 40.8%). There was a significant decrease in JAS development in RFA patients (p= .04).
Conclusion : There was significant reduction in JAS and improvement in AVF maturation with RFA. This study provides evidence highlighting the role of outflow vein configuration in AVF maturation. Furthermore, RFA has an advantage of carrying out a branch ligation at the same time.
Methods : The outcomes of consecutive distal radiocephalic (RC) fistulas performed by a single operator was reviewed by retrospectively. Traditional end-to-side technique (ETS), and RFA with branching vein in RC AVF created in 125 consecutive patients between 1/2013 and 8/2014 were compared. AVF maturation was evaluated by ultrasonography at 2 to 4 weeks and use for dialysis.
Results : The mean age of the study group was 55.1±20.7 years, the male-to-female ratio was 64:61. The primary disease for renal failure was hypertension (54; 43.2%) and diabetes (51; 40.8%). There was a significant decrease in JAS development in RFA patients (p= .04).
Conclusion : There was significant reduction in JAS and improvement in AVF maturation with RFA. This study provides evidence highlighting the role of outflow vein configuration in AVF maturation. Furthermore, RFA has an advantage of carrying out a branch ligation at the same time.
책임저자: 오상기
전남대학교 의과대학 전남대학교병원 흉부외과학교실
연락처 : 김난열, Tel: 062-220-6546 , E-mail : nanyeolkim@gmail.com
