Effects of Anesthetic Technique on Arteriovenous Fistula Patency

Abstract

Amac: Bu calismanin amaci lokal anestezi ve aksiller anestezi uygulamasinin arteriyovenoz fistul acikligina etkisinin arasti- rilmasidir. Yontem: Klinigimizde son bir yilda arteriyovenoz fistul acil- mis 38 hasta retrospektif olarak degerlendirildi. Operasyon sonrasi pulsasyon ve thril alinmasi basarili sonuc olarak degerlendirildi. Bulgular: Hastalardan 24'u lokal anestezi ile, 14'u aksiler anestezi ile opere edildi. 3 hastaya ilk uc haftalik takiplerde arteriyovenoz fistulde diyaliz icin yeterli akim olusmadigin- dan revizyon gerekti. Bunlardan biri lokal anestezi grubunda, diger ikisi aksiller anestezi grubundaydi. Sonuc: Sonuc olarak anestezi teknigine bagli arteiyovenoz fistul basari oranlarinin farkli olmadigi goruldu. Background: The aim of this study was to investigate the effect of local anesthesia and axillary anesthesia to AVF patency. Method: AVF opened 38 patients were examined in our clinic at the last one year, retrospectively. After the opera- tion, pulsation, and thrill were evaluated as a successful outcome. Results: 24 Patients were operated with local anesthesia, and 14 were axillary anesthesia. 3 patients were needed revision because of insufficient flow in the first three weeks follow up. One of these patients is in axillary anesthesia group, the others were in local anesthesia group. Conclusion: As a result, there wasn't a different arteriove- nous fistula success rates depending on the technique of anesthesia.