| dc.description.abstract | AV fistule is surgery which serves to make the veins into the arterial system for the purpose of
hemodialysis in patients with chronic renal failure. Various techniques can be used for the
manufacture of this procedure are (1) the radial artery and cephalica vein (radial-cephalic
fistule), (2) the brachial artery and cephalica vein (brachial-cephalic fistule), (3) the brachial
artery and basilica vein (brachial-basilic fistule). For grafting techniques, among others, (1) Side
to side anastomosis, (2) End to side anastomosis, (3) End-to-end anastomosis. From some of the
above access, AV fistula procedure is often performed in the department H.Adam Malik is
radial-cephalic fistule and brachial-cephalic frstule with end-to-side grafting technique
anastomosis.
Objectives:
To determine the incidence of thrill and bruit in the AV fistule procedure technique of radial-
cephalic and brachial-cephalic presentation in patients with chronic renal failure at RSUp H.
Adam Malik.
Material and methodology:
This study is an observational study with the analytical observation Thdll and bruit in the AV
fistule procedure with radial-cephalic fistule technique and brachial-cephalic fistule in patients
with chronic renal failure requiring hemodialysis access at RSUP I-I. Adarn lv{alik. Each sample
of 20 patients (10 patients with radial-cephalic fistule performed, 10 patients performed brachial-
cephalic fistule). The examination was conducted between 7 days postoperatively. The results
were analyzed with Fisher's test. The data presented in the form of text, tables and graphs.
Results :
The samples we comparcd,20 patients, 9 men and ll women. Distribution of patient age ranged
from 35-65 years with an age range of 5l-60 years most by 8 (a0%) patients. In the group of
radial-cephalic fistule incidence obtained thrill and bruit only 5 (33.3%) patients, whereas in the
brachial-cephalic fistule failure was not obtained (66.7%). Fisher's test showed significant
results between the two procedures @:0.016). The larger the diameter of the arteries and veins
encountered greater thrill and bruit (p:0.009).
Conclusion:
Event of thrill and bruit on brachial-cephalic fistule more often than radial-cephalic fistule
The larger the diameter of the arteries and veins encountered greater thrill and bruit | en_US |
