Technique of circular narrowing with a polytetrafluoroethylene graft in patients with high-flow arteriovenous fistula: mid-term results

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dc.authorid0000-0003-4008-4336en_US
dc.authorid0000-0001-5933-9322en_US
dc.authorid0000-0002-6107-2943
dc.authorid0000-0001-9343-0947
dc.contributor.authorDemir, Deniz
dc.contributor.authorTosun, Ali
dc.contributor.authorKahraman, Nail
dc.contributor.authorÖzsin, Kadir Kaan
dc.contributor.authorSanrı, Umut Serhat
dc.contributor.authorKorkmaz, Ufuk Turan
dc.date.accessioned2021-06-23T19:49:00Z
dc.date.available2021-06-23T19:49:00Z
dc.date.issued2017
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractIntroduction: An arteriovenous fistula with a high- flow rate adversely affects the hemodialysis treatment of the patients. There are several methods that help to decrease the high- flow rate. This study aims to investigate the effects of circular narrowing technique on lowering the flow rate with a polytetrafluoroethylene graft for the treatment of patients with a high- flow arteriovenous fistula and to present our shortand mid- term results. Materials and methods: Seven patients with a fistula flow rate of above 1200 ml/min were retrospectively analyzed. All patients were operated on under local anesthesia and underwent a circular narrowing procedure with a polytetrafluoroethylene graft. Additional aneurysmectomy was performed on the patients with aneurysms. Fistula flow rates were recorded at baseline and following the procedure. Results: Postoperative thrill was observed in all patients. The mean preoperative flow rate of arteriovenous fistula was 1428 +/- 230 ml/min. At three to six months following the procedure, it was 655 +/- 98 ml/min. Two patients suffered from pain in the arm at rest preoperatively and the pain resolved postoperatively. All patients continued to receive hemodialysis through the native fistula on a regular basis in the postoperative period. Conclusion: Our study results suggest that the circular narrowing technique with a polytetrafluoroethylene graft is an effective modality that can be easily used in patients with high- flow arteriovenous fistulas.en_US
dc.identifier.doi10.19193/0393-6384_2017_4_086
dc.identifier.endpage591en_US
dc.identifier.issn0393-6384
dc.identifier.issn2283-9720
dc.identifier.issue4en_US
dc.identifier.startpage587en_US
dc.identifier.urihttps://doi.org/10.19193/0393-6384_2017_4_086
dc.identifier.urihttps://hdl.handle.net/20.500.12491/9314
dc.identifier.volume33en_US
dc.identifier.wosWOS:000403079700007en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.institutionauthorKorkmaz, Ufuk Turan
dc.language.isoenen_US
dc.publisherCarbone Editoreen_US
dc.relation.ispartofActa Medica Mediterraneaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHigh-Flow Rateen_US
dc.subjectFlow Reductionen_US
dc.subjectArteriovenous Fistulaen_US
dc.subjectCircular Narrowing Techniqueen_US
dc.subjectPolytetrafluoroethylene Graften_US
dc.titleTechnique of circular narrowing with a polytetrafluoroethylene graft in patients with high-flow arteriovenous fistula: mid-term resultsen_US
dc.typeArticleen_US

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