TY - JOUR
T1 - Survival of arteriovenous fistulas and shunts for haemodialysis
AU - Burger, H.
AU - Kluchert, B. A.
AU - Kootstra, G.
AU - Kitslaar, P. J.
AU - Ubbink, D. T.
PY - 1995
Y1 - 1995
N2 - To formulate a standard for assessing functional patency of vascular access and to present long-term results of vascular access in a group undergoing dialysis, in particular the effects of percutaneous transluminal angioplasty (PTA). Retrospective study 1971-1980, prospective study 1980-1991. A unit for haemodialysis in a regional hospital, The Netherlands. All 259 patients treated from 1971 to 1991 in a programme for chronic haemodialysis. All interventions, surgical and radiological, needed to maintain vascular access. Intervention free periods, patency of access, life expectancy of access, and early failure rate (within 4 days). Patency of access before and after PTA. A total of 1179 interventions were made. 407 Arteriovenous (A-V) fistulas and shunts were constructed, and there were 519 surgical reoperations and 253 PTAs. The secondary cumulative patency rate for the autogenous distal A-V fistulas (Cimino) was 79% at one year, 68% at two years, and 59% at three years. Routine use of PTA from 1986 onwards resulted in a rise in secondary cumulative patency for Cimino A-V fistulas after two years from 65% to 80% (p > 0.05). To describe and assess vascular access the patency rate alone is not sufficient; intervention free periods and life expectancy must also be given. Routine use of PTA with the Cimino A-V fistula resulted in an appreciable but not significant increase patency at two years
AB - To formulate a standard for assessing functional patency of vascular access and to present long-term results of vascular access in a group undergoing dialysis, in particular the effects of percutaneous transluminal angioplasty (PTA). Retrospective study 1971-1980, prospective study 1980-1991. A unit for haemodialysis in a regional hospital, The Netherlands. All 259 patients treated from 1971 to 1991 in a programme for chronic haemodialysis. All interventions, surgical and radiological, needed to maintain vascular access. Intervention free periods, patency of access, life expectancy of access, and early failure rate (within 4 days). Patency of access before and after PTA. A total of 1179 interventions were made. 407 Arteriovenous (A-V) fistulas and shunts were constructed, and there were 519 surgical reoperations and 253 PTAs. The secondary cumulative patency rate for the autogenous distal A-V fistulas (Cimino) was 79% at one year, 68% at two years, and 59% at three years. Routine use of PTA from 1986 onwards resulted in a rise in secondary cumulative patency for Cimino A-V fistulas after two years from 65% to 80% (p > 0.05). To describe and assess vascular access the patency rate alone is not sufficient; intervention free periods and life expectancy must also be given. Routine use of PTA with the Cimino A-V fistula resulted in an appreciable but not significant increase patency at two years
M3 - Article
C2 - 7662776
SN - 1102-4151
VL - 161
SP - 327
EP - 334
JO - European journal of surgery = Acta chirurgica
JF - European journal of surgery = Acta chirurgica
IS - 5
ER -