Correlation Between Intraoperative Blood Vessel Diameter and Technical Success Rate of AV Shunt Surgery in Dr. Soetomo Hospital Surabaya
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Keywords
Arteriovenous shunt, postoperative evaluation, successful surgery, vessel diameter
Abstract
Introduction: An arteriovenous (AV) shunt is an anastomosis between vein and artery made in a surgical procedure as vascular access for patients with end-stage renal disease that are projected to undergo hemodialysis. Unfortunately, AV shunt failure remains a significant clinical problem for hemodialysis patients. In general, the cause of most early AV shunt failure is still unknown, but the quality of the blood vessels is suspected as a factor. This study aimed to determine the correlation between blood vessel diameter and the success of AV shunt surgery.
Methods: This study is a cross sectional study that uses a descriptive-analytic design. The samples were obtained from the patient’s medical records with the total sampling technique of all patients who have undergone AV shunt surgery from January 2019 – December 2020 at Dr. Soetomo General Hospital which matches the inclusion and exclusion criteria.
Results: Patients’ blood vessel diameter measurement is divided into four categories which are <2 mm, 2 - <4 mm, 4 - <6 mm, and ≥6 mm. From a total of 62 patients, the highest successful surgery rate is carried out in patients with a vein diameter of 2 - <4 mm (77.59%) and artery diameter of 2 - <4 mm (63.79%). The results of the Chi-Square analysis found no significant correlation between vein diameter (p=0.769) or artery diameter (p=0.922) and the success of AV shunt surgery at Dr. Soetomo Hospital, Surabaya 2019-2020.
Conclusions: In conclusion, this study did not find a correlation between the intraoperative blood vessel diameter and the technical success of AV shunt surgery.
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Diva Saphira, Medical Program, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
Medical Program, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
Heroe Soebroto, Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia / Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia / Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
Mochammad Thaha, Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia / Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia / Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
Arief Rakhman Hakim, Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia / Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia / Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
Gabriel Rio Widipriyatama, Medical Program, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
Medical Program, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia