초록접수 현황
| 19F-224 | 구연 발표 |
Surgical Outcomes of Arteriovenous Graft for Hemodialysis Access in End Stage Renal Disease Patients Whose Cephalic Vein Is Not Preserved
Joungwoo Son, Jae Wook Ryu, Pil Won Seo, Kyoung Min Ryu
Department of Thoracic and Cardiovascular Surgery, Dankook University Hospital, Dankook University College of Medicine, Chungcheongnam-do, Republic of Korea
Purpose : Due to aging of patients with end-stage renal disease, there are increasing numbers of patients using arteriovenous graft (AVG) to access blood vessels for hemodialysis because of poor preservation of their own vasculature. However, despite this increasing demand, studies on AVG are limited. In this study, we examined surgical outcomes of upper limb AVG formation.
Methods : Among arteriovenous fistula formation surgeries performed between January 2014 and March 2019, there were 42 cases of AVG formation. We compared Group A, in whom the axillary vein was used (brachio-axillary AVG [BAAVG]; n=20), and Group B, in whom veins of the upper limb were used (brachio-basilic AVG or brachio-antecubital AVG; n=22).
Results : The 1-year primary patency was higher in Group A than in Group B (57.9% vs. 41.7%; p=0.262). The incidence of postoperative complications showed no differences, at less than 5% in both groups.
Conclusion : AVG using the axillary vein showed no major differences in safety or functionality compared to AVG using other veins. Therefore, accounting for the age, underlying disease, and expected lifespan of the patient group, BAAVG is a sufficiently acceptable surgical method in selected patients.
Methods : Among arteriovenous fistula formation surgeries performed between January 2014 and March 2019, there were 42 cases of AVG formation. We compared Group A, in whom the axillary vein was used (brachio-axillary AVG [BAAVG]; n=20), and Group B, in whom veins of the upper limb were used (brachio-basilic AVG or brachio-antecubital AVG; n=22).
Results : The 1-year primary patency was higher in Group A than in Group B (57.9% vs. 41.7%; p=0.262). The incidence of postoperative complications showed no differences, at less than 5% in both groups.
Conclusion : AVG using the axillary vein showed no major differences in safety or functionality compared to AVG using other veins. Therefore, accounting for the age, underlying disease, and expected lifespan of the patient group, BAAVG is a sufficiently acceptable surgical method in selected patients.
책임저자: Jae Wook Ryu
Department of Thoracic and Cardiovascular Surgery, Dankook University Hospital, Dankook University College of Medicine, Chungcheongnam-do, Republic of Korea
발표자: Joungwoo Son, E-mail : minisjw@naver.com