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Abstract

Background   brachiocephalic fistula is a best choice for long term hemodialysis as a vascular access  comparing with central venous catheter & arterio venous graft . Aim: aim of this study is to increase successful rate of brachiocephalic fistula. Methods: In this study patients divided as controlled group (75 patients) which operated on with classical technique & studded group (225 patients) which operated on with modified technique I e (cut a patch from arterial wall,  ligation of distal & deep tributaries , us of heparin , avoid hypotension &keep upper limb extended & supinated.        Results: Overall successful e rate was 90,4%  which represent as 84% in controlled group & 92,5% in studded group .          Although DM represent 61% of patients & hypertension represent 56,5% of patients the failure rate was more in patients with HT (72%)  & (55,1) in patients with DM. Conclusion: Modified technique for arteriovenous fistula  should be used in all patients with DM,HT & CTD to increase successful rate .

Article Type

Article

First Page

73

Last Page

76

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Copyright (c) 2017 AL-QADISIYAH MEDICAL JOURNAL

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