EVALUATION OF EFFICACY AND COMPLICATIONS OF SNUFF BOX ARTERIVENOUS FISTULAS IN PATIENTS WITH CHRONIC RENAL FAILURE: LIGATION VERSUS NOT LIGATION OF DISTAL VEIN

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AFSHARFARD A.A.F.; MOZAFAR M.; SABERI A.R.; TADAYON N.

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Paper Information

Journal: MEDICAL SCIENCES JOURNAL OF ISLAMIC AZAD UNIVERSITY Year:2009 | Volume:18 | Issue:4 (54) Page(s): 255-258

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Title

EVALUATION OF EFFICACY AND COMPLICATIONS OF SNUFF BOX ARTERIVENOUS FISTULAS IN PATIENTS WITH CHRONIC RENAL FAILURE: LIGATION VERSUS NOT LIGATION OF DISTAL VEIN

Author(s)

AFSHARFARD A.A.F. | MOZAFAR M. | SABERI A.R. | TADAYON N. | Issue Writer Certificate

Keywords

ARTERIOVENOUS FISTULASQ2

DISTAL VEIN LIGATIONQ3

HEMODIALYSISQ3

CHRONIC RENAL FAILUREQ3

Abstract

Background: Endogen ARTERIOVENOUS FISTULAS (AVFs) are one of important HEMODIALYSIS access. According to current use of this technique, especially snuff box AVF, we compared the efficacy and complications of the two main techniques of snuff box AVFs, including with DISTAL VEIN LIGATION and without ligation the vein.Materials and methods: This double blind clinical trial was performed on 110 (11 to 83 years old) CHRONIC RENAL FAILURE (CRF) patients without evidence of proximal vein stenosis. Case and control group were matched regarding in age, sex, underlying disease and history of previous AVF. Vein distal to the site of AVF was ligated in case group and left open in control group. Patients were followed up in the days 1, 30, and 180 after the surgery to evaluate the efficacy and complications of two techniques.Results: Short-term efficacy was 90% and 93.6% in case and control groups, respectively. Long-term efficacy was 90% in case group and 84.8% in control group (NS). The most common complication in both groups was thrombosis followed by edema of the limb and venous hypertension. Venous hypertension was seen only in the control group (NS).Conclusion: There are no statistical significant differences between two groups in efficacy and complications. Venous hypertension did not occur in any of the patients in case group. So, we recommend distal ligation of vein in snuff box AVFs.

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APA: Copy

AFSHARFARD, A.A.F., MOZAFAR, M., SABERI, A.R., & TADAYON, N.. (2009). EVALUATION OF EFFICACY AND COMPLICATIONS OF SNUFF BOX ARTERIVENOUS FISTULAS IN PATIENTS WITH CHRONIC RENAL FAILURE: LIGATION VERSUS NOT LIGATION OF DISTAL VEIN. MEDICAL SCIENCES JOURNAL OF ISLAMIC AZAD UNIVERSITY, 18(4 (54)), 255-258. SID. https://sid.ir/paper/98941/en

Vancouver: Copy

AFSHARFARD A.A.F., MOZAFAR M., SABERI A.R., TADAYON N.. EVALUATION OF EFFICACY AND COMPLICATIONS OF SNUFF BOX ARTERIVENOUS FISTULAS IN PATIENTS WITH CHRONIC RENAL FAILURE: LIGATION VERSUS NOT LIGATION OF DISTAL VEIN. MEDICAL SCIENCES JOURNAL OF ISLAMIC AZAD UNIVERSITY[Internet]. 2009;18(4 (54)):255-258. Available from: https://sid.ir/paper/98941/en

IEEE: Copy

A.A.F. AFSHARFARD, M. MOZAFAR, A.R. SABERI, and N. TADAYON, “EVALUATION OF EFFICACY AND COMPLICATIONS OF SNUFF BOX ARTERIVENOUS FISTULAS IN PATIENTS WITH CHRONIC RENAL FAILURE: LIGATION VERSUS NOT LIGATION OF DISTAL VEIN,” MEDICAL SCIENCES JOURNAL OF ISLAMIC AZAD UNIVERSITY, vol. 18, no. 4 (54), pp. 255–258, 2009, [Online]. Available: https://sid.ir/paper/98941/en

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