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dc.contributor.authorKirnap, Mahir
dc.contributor.authorTezcaner, Tugan
dc.contributor.authorMoray, Gokhan
dc.date.accessioned2019-06-13T10:36:43Z
dc.date.available2019-06-13T10:36:43Z
dc.date.issued2017
dc.identifier.issn1309-0720
dc.identifier.urihttp://www.jcam.com.tr/files/JCAM-4799.pdf
dc.identifier.urihttp://hdl.handle.net/11727/3493
dc.description.abstractAim: To investigate the secondary arteriovenous fistulas constructed after a snuff-box fistula. Material and Method: We reviewed data on 95 arteriovenous fistulas that were created as a secondary vascular access between January 2007 and December 2015. Of those 95 fistulas, 37 (39%) were ipsilateral elbow brachial-cephalic arteriovenous fistulas and 58 (61%) were ipsilateral wrist radial-cephalic arteriovenous fistulas; all were created after a primary snuff-box fistula. Results: All arteriovenous fistulas had matured. The primary patency rates for elbow brachial-cephalic arteriovenous fistulas and radial-cephalic arteriovenous fistulas were as follows: 1-year rate, 88% to 87% and 4-year rate, 70% to 61%. The secondary patency rates for were as follows: 1-year rate, 91% to 93%; 4-year rate, 72% to 63%. No early failure occurred. There were 15 late failures. The most common causes of failure were stenosis within the vein (n=8 patients), aneurysm (n=5 patients), and central vein stenosis (n=2 patients). Discussion: These data suggest that before a radial-cephalic or brachial-cephalic arteriovenous fistula is created, the construction of a snuff-box fistula enable the vascular structures to dilate, and may so fascilitate the success rate of seconder AVFs. For this reason a radial-cephalic arteriovenous fistula or an elbow brachial-cephalic arteriovenous fistula should be the second choice.en_US
dc.language.isoengen_US
dc.relation.isversionof10.4328/JCAM.4799en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPOLYTETRAFLUOROETHYLENE GRAFT FISTULAen_US
dc.subjectBASILIC VEINen_US
dc.subjectMETAANALYSISen_US
dc.subjectOUTCOMESen_US
dc.subjectPATENCYen_US
dc.subjectFLOWen_US
dc.titleSecondary Vascular Access Procedures for Hemodialysis After Primary Snuff-Box Arteriovenous Fistulaen_US
dc.typearticleen_US
dc.relation.journalJOURNAL OF CLINICAL AND ANALYTICAL MEDICINEen_US
dc.identifier.volume8en_US
dc.identifier.issue3en_US
dc.identifier.startpage190en_US
dc.identifier.endpage194en_US
dc.identifier.wos000402382500004en_US
dc.identifier.scopus2-s2.0-85011063319en_US
dc.contributor.orcID0000-0002-3641-8674en_US
dc.contributor.orcID0000-0003-2498-7287en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergien_US
dc.contributor.researcherIDAAD-9865-2021en_US
dc.contributor.researcherIDAAE-1041-2021en_US
dc.contributor.researcherIDAAH-9198-2019en_US


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