Efficacy of Sapheno-Femoral A-V Fistula in Cronic Renal Failure Patients Undergoing Hemodialysis

• Main Authors: M Safaie, E Moieni, V Goharian
• Format: Article
• Language: fas
• Published: Shahid Sadoughi University of Medical Sciences 2005-04-01
• Series: Majallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Shahīd Ṣadūqī Yazd
• Subjects: Saphenofemoral Fistula; End Stage Renal Failure; Hemodialysis
• Online Access: http://jssu.ssu.ac.ir/browse.php?a_id=1347&slc_lang=en&sid=1&ftxt=1

Introduction: To describe the outcome of the sapheno-femoral fistula as an alternative blood access site for maintenance hemodialysis in a prospective cohort of patients with end - stage renal failure. Methods: Twenty-two patients with vascular access failure in the arms were admitted for establishing sapheno-femoral fistula as a puncture site for hemodialysis. The major saphenous vein was exposed at the junction site with femoral vein and its tributary veins were ligated . The saphenous vein was isolated and mobilized throughout the thigh and end to side anastomosis accomplished with the superficial femoral artery by a running 6-0 prolene suture after conducting the vein through a subcutaneous tunnel. Results: Failure rate of saphenofemoral fistula was 22. 7% at two years follow up. Mean ± SE survival of fistula was 16.4+/- 2.75 months. Significant survival difference wasn’t seen between two sexes. Rate of wound infection and chronic pain of surgery site was similar( 9.1%). Conclusions: Two-year survival rate of 77% and morbidity less than 10% leads to suggestion of saphenofemoral fistula as an alternative for upper extremity fistulas in end- stage renal failure patients