Browsing by Author "Goksel, Onur Selcuk"
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Item Results of Prompt Surgical Intervention in Hemodialysis Radiocephalic Fistula Secondary Dysfunction(INT COLLEGE OF SURGEONS, 2019-01-01) Fansa, Iyad; Kosem, Mesut; Karatepe, Celalettin; Sezen, Adem; Karatepe, Hilal Kuscu; Goksel, Onur SelcukRadiocephalic fistula (RCF) dysfunction is a common problem due to low maturation and patency rates of these fistulas. The most common procedure in such cases is to place a temporary catheter for the dialysis. Temporary catheter placement and undergoing dialysis with this catheter cause complications, reduce the chance for fistula, and deteriorate the quality of life. The aim of this study was to demonstrate that immediate intervention in RCF dysfunctions can increase fistula success for the patient and can reduce the need for a catheter. Furthermore, the hemodialysis treatment can continue without affecting the quality of life. A total of 295 patients who were admitted for RCF dysfunction and who underwent early surgical intervention without any catheter placement were evaluated for postoperative complications, patency rates, and rates and durations of temporary catheter use over a mean time of 47 months of follow-up (range: 4-79 months). Of the patients, 77.2\% (n = 228) underwent new proximal anastomosis (NEO