Cemal Kocaaslan, Mehmet Şenel Bademci, Fatih Avni Bayraktar, Ahmet Öztekin, Emine Şeyma Denli Yalvaç, Ebuzer Aydın
Department of Cardiovascular Surgery, Istanbul Medeniyet University, Göztepe Training and Research Hospital, Istanbul, Turkey
Keywords: Neosinus; pericardial patching; right ventricular outflow tract stenosis
Objectives: In this study, we present our midterm results of arteriovenous fistulas constructed with the antecubital perforating vein and radial artery.
Patients and methods: In this single-center, retrospective study, a total of 62 patients (27 males, 35 females, mean age 59±13.5 years; range, 34 to 77 years) who underwent antecubital perforating vein-radial artery arteriovenous fistula at Istanbul Medeniyet University, Göztepe Training and Research Hospital between January 2017 and January 2019 were analyzed. Complications, primary failure, primary patency, and secondary patency rates were evaluated at 6, 12, 18, and 24 months.
Results: The mean follow-up was 25 (range, 19 to 28) months. Primary arteriovenous fistula failure was seen in seven patients (11.2%). The primary patency rates during follow-up were 79.3% at six months, 67.7% at 12 months, 53.2% at 18 months, and 35.4% at 24 months. The secondary patency rates were 82.2% at six months, 75.8% at 12 months, 69.3% at 18 months, and 54.8% at 24 months.
Conclusion: Construction of an arteriovenous fistula with the antecubital perforating vein and radial artery is a feasible method with
acceptable patency rates. This type of arteriovenous fistulas has also a lower complication rate, particularly for steal syndrome.