dc.date.accessioned | 2013-03-12T12:37:44Z | |
dc.date.available | 2013-03-12T12:37:44Z | |
dc.date.issued | 2004 | en_US |
dc.date.submitted | 2004-11-06 | en_US |
dc.identifier.citation | Skårn, Sigrid. A retrospective study of haemodialysis fistulae. Prosjektoppgave, University of Oslo, 2004 | en_US |
dc.identifier.uri | http://hdl.handle.net/10852/29360 | |
dc.description.abstract | Background
There are no large Norwegian studies reporting the outcome of AV-fistulae made for haemodialysis. We wanted to evaluate our work, and investigate the patency of arteriovenous fistulae created at a central hospital in Norway.
Material and Methods
A retrospective study of 73 primary AV-fistulae (18 females, 55 males), created between 20.07.90-10.10.01 at Central Hospital of Rogaland. Median age was 67.9 years (range 22.6-86.3). 62% had a relevant vascular disease, 11% had diabetes, and 37% had none of these diseases.
Results
Time from access creation until first dialysis was median 5.9 weeks (range 2.7-105.0). 12 fistulae were being used within 4 weeks after access creation, 58% of these needed interventions, all due to occlusion. Of the 53 fistula were time from access creation until first dialysis was more than 4 weeks, 32% needed interventions.
The majority of first time interventions were carried out within one year subsequent to access creation. A total of 40% of the fistulae needed interventions, of which 55% became functional. At first intervention, 16 presented with occlusions, 7 with stenosis and 4 with bleedings/aneurysms. Interventions were thrombectomy (9), new anastomosis (6), patch (3), other surgery (7) and PTA (4). Time-interval between access creation and first intervention was median 16.7 weeks (0-159.3).
Conclusions
We find that time of maturation should be at least 4 weeks. The majority of complications occur within one year of access creation. Occlusion was the grounds for intervention in over 50% of cases. Functionality was re-established in 55 % of the fistulae with complications. This indicates that interventions are beneficial. | nor |
dc.language.iso | nob | en_US |
dc.subject | kirurgi | |
dc.title | A retrospective study of haemodialysis fistulae | en_US |
dc.type | Master thesis | en_US |
dc.date.updated | 2004-11-26 | en_US |
dc.creator.author | Skårn, Sigrid | en_US |
dc.subject.nsi | VDP::780 | en_US |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&rft.au=Skårn, Sigrid&rft.title=A retrospective study of haemodialysis fistulae&rft.inst=University of Oslo&rft.date=2004&rft.degree=Prosjektoppgave | en_US |
dc.identifier.urn | URN:NBN:no-10055 | en_US |
dc.type.document | Prosjektoppgave | en_US |
dc.identifier.duo | 22097 | en_US |
dc.contributor.supervisor | Lasse Gøransson | en_US |
dc.identifier.bibsys | 042312655 | en_US |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/29360/1/22097.pdf | |