2025 Volume 58 Issue 2 Pages 68-76
Background and Purpose： We investigated the usefulness of venocutaneous fistula (VCF). Subjects： Sixty‒five patients (27 males and 38 females； 74 limbs) who underwent VCF at Bousei Daiichi Clinic and Unuma Higashi Clinic from May 2017 to October 2023 were included. All patients presented with difficulty in AVF and AVG creation due to their poor general and vascular conditions. The usefulness of this method was examined based on the results of fistula creation surgery and dialysis using the fistula. Results： No serious complications were observed during or after the procedure. Infection and blood infection rates were 0.27/1000 and 0.09/1000 fistula maintenance days, respectively. Secondary patency rates based on the Kaplan‒Meier method were 82.6 and 62.6％ at 1 and 3 years, respectively. During the observation period, 6 cases of intra‒femoral venous thrombosis were observed. Survival rates were 52.1 and 32.3％ at 1 and 3 years, respectively. Conclusion： This method is associated with good patency and low infection rates, and is considered to be a promising alternative method for patients presenting with difficult creation of vascular access.
