Korean Journal of Nephrology 1991;10(2):193-200.

혈액투석 (血液透析) 환자에 (患者)시행된 동정맥루 (動靜脈屢) 조성술에 (造成術) 관한 (關) 연구 (硏究)

최규복 , 윤견일 , 박영식 , 김광호

Abstract

For the fair hemodialysis in patients with end-stage renal disease, the good establishment of the vascular access is mandatory. In 1966, Brescia and co-workers described the technique of creating a subcutaneous arteriovenous fistula between the radial artery and an adjacent vein. This approach has been used widely today, because it permits easy access for multiple per- cutaneous cannulation of the arterialized vein in the forearm. During 7/. Years period between March 1983 and December 1990, we performed 116 procedures creating internal arteriovenous fistula by either Brescia fistula or Graft fistula in 76 patients requiring hemodialysis and these were analysed clinically. We found following results. The graft fistula was more frequently performed in woman than in man (28. 2% versus 10.1%). The early failure rate within 48 hours after operation was higher in Brescia fistula than in Graft fistula (14. 4% versus 10.5%). And in Brescia fis- tula the early failure was more frequently developed in Side-vein to Side-artery anastomosis than in End-vein to Side-artery anastomosis (25% versus 12.9%). But late complication rate was lower in Brescia fistula than in Graft fistula (26.8% versus 42.1%). However we needed reoperation more frequently in Brescia fistula than in Graft fistula for new vascular access or CAPD (80.8% versus 37.5%) e Brescia fistula;Internal arteriovenous fistula creat- ed by patients own endogenous blood vessels Graft fistula; Internal arteriovenous fistula created by graft material