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dc.contributor.authorCorrea, Joao A.-
dc.contributor.authorde Abreu, Luiz Carlos-
dc.contributor.authorPires, Adilson C.-
dc.contributor.authorBreda, Joao R.-
dc.contributor.authorYamazaki, Yumiko R.-
dc.contributor.authorFioretti, Alexandre C.-
dc.contributor.authorValenti, Vitor E.-
dc.contributor.authorVanderlei, Luiz Carlos M.-
dc.contributor.authorMacedo Junior, Hugo-
dc.contributor.authorColombari, Eduardo-
dc.contributor.authorMiranda Junior, Fausto-
dc.identifier.citationBmc Surgery. London: Biomed Central Ltd., v. 10, p. 7, 2010.-
dc.description.abstractBackground: An upper limb arteriovenous (AV) fistula is the access of choice for haemodialysis (HD). There have been few reports of saphenofemoral AV fistulas (SFAVF) over the last 10-20 years because of previous suggestions of poor patencies and needling difficulties. Here, we describe our clinical experience with SFAVF.Methods: SFAVFs were evaluated using the following variables: immediate results, early and late complications, intraoperative and postoperative complications (up to day 30), efficiency of the fistula after the onset of needling and complications associated to its use.Results: Fifty-six SFAVF fistulas were created in 48 patients. Eight patients had two fistulas: 8 patent (16%), 10 transplanted (20%), 12 deaths (24%), 1 low flow (2%) and 20 thrombosis (39%) (first two months of preparation). One patient had severe hypotension during surgery, which caused thrombosis of the fistula, which was successfully thrombectomised, four thrombosed fistulae were successfully thrombectomised and revised on the first postoperative day. After 59 months of follow-up, primary patency was 44%.Conclusion: SFAVF is an adequate alternative for patients without the possibility for other access in the upper limbs, allowing efficient dialysis with good long-term patency with a low complication rate.en
dc.description.sponsorshipNucleo de Estudos, Pesquisas e Assessoria a Saúde da Faculdade de Medicina do ABC (NEPAS-FMABC)-
dc.publisherBiomed Central Ltd.-
dc.sourceWeb of Science-
dc.titleSaphenofemoral arteriovenous fistula as hemodialysis accessen
dc.contributor.institutionFac Med ABC-
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)-
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)-
dc.description.affiliationFac Med ABC, Dept Cirugia, Santo Andre, SP, Brazil-
dc.description.affiliationFac Med ABC, Dept Morfol & Fisiol, Lab Escrita Cient, Santo Andre, SP, Brazil-
dc.description.affiliationUniv Fed São Paulo UNIFESP, Dept Med, Disciplina Cardiol, São Paulo, Brazil-
dc.description.affiliationUniv Estadual Paulista UNESP, Dept Fisioterapia, Presidente Prudente, SP, Brazil-
dc.description.affiliationUniv Fed São Paulo UNIFESP, Disciplina Cirurgia Cardiovasc, São Paulo, Brazil-
dc.description.affiliationUnespUniv Estadual Paulista UNESP, Dept Fisioterapia, Presidente Prudente, SP, Brazil-
dc.rights.accessRightsAcesso aberto-
dc.relation.ispartofBmc Surgery-
Appears in Collections:Artigos, TCCs, Teses e Dissertações da Unesp

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