Methods for reducing the incidence of complications in distal arteriovenous fistula formation
The OBJECTIVE was to improve the results of surgical treatment and to reduce the incidence of postoperative vascular complications in patients after distal radial-cephalic arteriovenous fistula formation using a new method of vascular anastomosis application and cilostazol medication.MATERIALS AND M...
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| Format: | Article |
| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2023-04-01
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| Series: | Вестник хирургии имени И.И. Грекова |
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| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/1992 |
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| author | E. P. Krivoshchekov G. S. Alyapyshev V. A. Prutskov |
| author_facet | E. P. Krivoshchekov G. S. Alyapyshev V. A. Prutskov |
| author_sort | E. P. Krivoshchekov |
| collection | DOAJ |
| description | The OBJECTIVE was to improve the results of surgical treatment and to reduce the incidence of postoperative vascular complications in patients after distal radial-cephalic arteriovenous fistula formation using a new method of vascular anastomosis application and cilostazol medication.MATERIALS AND METHODS. We studied 69 patients. The comparison group included 32 patients who underwent standard treatment with distal radiocephalic fistula formation according to the generally accepted method without additional conservative treatment. The main group consisted of 37 patients in whom the fistula formation was carried out according to the proposed method, and in the postoperative period, cilostazol medication was used at a dosage of 100 mg mg twice a day for more than 2 months.RESULTS. The main group showed smaller number of vascular complications: 12 (32.4 %) patients versus 15 (46.8 %) patients in the comparison group.CONCLUSION. The use of the proposed surgical method for arteriovenous fistula formation in combination with the use of cilostazol in the postoperative period leads to a decrease in the incidence of vascular complications, in particular, to a decrease in the frequency of thrombosis and disorders of the arteriovenous fistula formation. |
| format | Article |
| id | doaj-art-a49fcd62b986444c9376e218801f5923 |
| institution | Kabale University |
| issn | 0042-4625 |
| language | Russian |
| publishDate | 2023-04-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj-art-a49fcd62b986444c9376e218801f59232025-08-20T03:43:57ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252023-04-011815475110.24884/0042-4625-2022-181-5-47-511441Methods for reducing the incidence of complications in distal arteriovenous fistula formationE. P. Krivoshchekov0G. S. Alyapyshev1V. A. Prutskov2Samara State Medical UniversityUlyanovsk Regional clinical HospitalUlyanovsk Regional clinical HospitalThe OBJECTIVE was to improve the results of surgical treatment and to reduce the incidence of postoperative vascular complications in patients after distal radial-cephalic arteriovenous fistula formation using a new method of vascular anastomosis application and cilostazol medication.MATERIALS AND METHODS. We studied 69 patients. The comparison group included 32 patients who underwent standard treatment with distal radiocephalic fistula formation according to the generally accepted method without additional conservative treatment. The main group consisted of 37 patients in whom the fistula formation was carried out according to the proposed method, and in the postoperative period, cilostazol medication was used at a dosage of 100 mg mg twice a day for more than 2 months.RESULTS. The main group showed smaller number of vascular complications: 12 (32.4 %) patients versus 15 (46.8 %) patients in the comparison group.CONCLUSION. The use of the proposed surgical method for arteriovenous fistula formation in combination with the use of cilostazol in the postoperative period leads to a decrease in the incidence of vascular complications, in particular, to a decrease in the frequency of thrombosis and disorders of the arteriovenous fistula formation.https://www.vestnik-grekova.ru/jour/article/view/1992chronic kidney diseasearteriovenous fistulaaducil |
| spellingShingle | E. P. Krivoshchekov G. S. Alyapyshev V. A. Prutskov Methods for reducing the incidence of complications in distal arteriovenous fistula formation Вестник хирургии имени И.И. Грекова chronic kidney disease arteriovenous fistula aducil |
| title | Methods for reducing the incidence of complications in distal arteriovenous fistula formation |
| title_full | Methods for reducing the incidence of complications in distal arteriovenous fistula formation |
| title_fullStr | Methods for reducing the incidence of complications in distal arteriovenous fistula formation |
| title_full_unstemmed | Methods for reducing the incidence of complications in distal arteriovenous fistula formation |
| title_short | Methods for reducing the incidence of complications in distal arteriovenous fistula formation |
| title_sort | methods for reducing the incidence of complications in distal arteriovenous fistula formation |
| topic | chronic kidney disease arteriovenous fistula aducil |
| url | https://www.vestnik-grekova.ru/jour/article/view/1992 |
| work_keys_str_mv | AT epkrivoshchekov methodsforreducingtheincidenceofcomplicationsindistalarteriovenousfistulaformation AT gsalyapyshev methodsforreducingtheincidenceofcomplicationsindistalarteriovenousfistulaformation AT vaprutskov methodsforreducingtheincidenceofcomplicationsindistalarteriovenousfistulaformation |