| 말기 신부전 환자에 시행한 동정맥루술의 수술 기법의 분석 |
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이홍섭, 장지원 |
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제주대학교 의과대학 흉부외과학 교실 |
| Analysis of Surgical technique of A-V fistula formation in patients of ESRD |
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Hong-Sup Lee, Jee-Won Chang |
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Department of Thoracic & Cardiovascular Surgery, College of Medicine, Cheju National University, Jeju 690-756, Korea |
Correspondence:
Hong-Sup Lee, Email: hongss@hanafos.com
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| Abstract |
Objective
The study's aim was to analyse the current method of Arteriovenous fistula operation and to find the proper method of operation.
Methods
A retrospective study of 44 Arteriovenous fistula operation for hemodialysis at Cheju National Hospital between April 2002 and November 2003.
Results
Thirty six autogenous fistula, 8 prosthetic graft were available for evaluation. The incidence of Prosthetic graft was 18%. There are 25 radiocephalic fistula, 9 brachiocephalic or brachiocubital fistula and 2 ulnobasilic fistulas. 38 patients were successful and used for dialysis, but 3 lost in follow-up, I clotted in immediate postoperative period, 1 died before dialysis and 1 failed to mature.
Conclusions
The proper selection of patients and method of artiovenous fistula operation can be reduce the incidence of artificial graft fistulas and increase the patency rate. |
| Key Words:
Arteriovenous fistula formation, fistula, vascular access |
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