ABSTRACT

The aim of this study was to evaluate our arteriovenous fistula experience and success rate and the surgical technique in arteriovenous fistula operations for haemodialysis access.

We retrospectively reviewed 165 consecutive operations for haemodialysis access performed in our department from January 2003 to December 2005. They were evaluated for the type of operation, localization and complications.

No grafts were used in this series of 165 consecutive operations. The 6 month patency rates of native fistulas were 90%, 93% and 93% for the snuffbox, radiocephalic and brachiocephalic fistulas, respectively. The complication rate was 13% and the most common complication was thrombus formation.

For all arteriovenous fistulas, the aim should be a long duration of patency and productivity. Patency rates of brachiocephalic fistulas are comparable to those of radiocephalic fistulas. Native fistulas are reliable, safe and simple procedures with access sites often available in both the forearm and the upper arm.