Clinical Outcomes of Cephalic Vein Turndown for Treatment Cephalic Arch Stenosis in Hemodialysis Access Patients
Keywords:
Cephalic Arch Stenosis, Cephalic Vein Turndown, Arteriovenous fistula, PatencyAbstract
Background: Cephalic Arch Stenosis is a common problem in hemodialysis patients and an important cause of arteriovenous access failure. Cephalic Vein Turndown has been proposed as a surgical option to improve access patency.
Objective: To evaluate the clinical outcomes of Cephalic Vein Turndown for the treatment of Cephalic Arch Stenosis in hemodialysis patients.
Methods: This Retrospective case series included 15 patients who underwent Cephalic Vein Turndown at Samutsakhon Provincial Hospital between July 2022 and June 2 0 2 5 . Baseline characteristics, type of anesthesia, primary and secondary patency, postoperative complications, and reintervention rates were collected and analyzed descriptively.
Results: The mean age of patients was 51.1±13.4 years, and 40% were male. Local anesthesia was used in 60% of cases and general anesthesia in 40%. Primary patency rates were 86.7%, 73.3%, and 73.3% at 3, 6, and 12 months, respectively. Secondary patency rates were 93.3%, 86.7%, and 86.7% at the same time points. The average reintervention rate was 0.5 procedures per patient-year. Postoperative complications were low, with seroma observed in 6.7% of cases and no infections, bleeding, or lymphedema.
Conclusion: Cephalic Vein Turndown appears to be a safe and effective surgical option for managing Cephalic Arch Stenosis in hemodialysis patients, providing satisfactory access patency with a low complication and reintervention rate.
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