A prospective study of arteriovenous fistula failure in a tertiary teaching hospital of Andhra Pradesh, India
Abstract
Background: An arteriovenous (AV) fistula is an abnormal connection between an artery and a vein. Normally, blood flows from your arteries to your capillaries to your veins. Nutrients and oxygen in your blood travel from your capillaries to tissues in your body. With an arteriovenous fistula, blood flows directly from an artery into a vein, bypassing some capillaries. When this happens, tissues below the bypassed capillaries receive diminished blood supply. Arteriovenous fistula (AVF) is the preferred access for hemodialysis in patients with chronic kidney disease. This study aimed to report the outcomes and common complications of AVF.
Methodology: A prospective, study was conducted on 120 patients on hemodialysis in the Department of Surgery GEMS Srikakulam from February-November 2017. The failure rates, complications, and outcomes were assessed in this study.
Results: A total of 120 AVF fistulae were created. It was radiocephalic in 94 cases and brachial fistula in 26 cases all of which were constructed in an end-side fashion. AVF maturation was seen in n=105 (87.5%) with the majority occurring in the first 6 weeks with a failure rate of 12.5 % (n=15) who were excluded from the further follow-up.
Conclusion: Complications developed in 27.5% (n=33) of patients who were managed appropriately.
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References
Eknoyan G, Levin NW, Eschbach JW, Golper TA, Owen Jr WF, Schwab S, et al. Continuous quality improvement: DOQI becomes K/DOQI and is updated. National Kidney Foundation's Dialysis Outcomes Quality Initiative. Am J Kid Dis. 2001;37(1):179-194. doi: https://doi.org/10.1016/s0272-6386(01)80074-3.
Townsend CM. Sabiston TextBook of Surgery. 16th ed. Philadelphia, Saunders's company. 2001; I:331-342.
Hobson RW, Wilson S, Veith FJ. Vascular surgery: principles and practice. CRC Press, 2003, 15.
Wang W, Murphy B, Yilmaz S, Tonelli M, MacRae J, Manns BJ. Comorbidities do not influence primary fistula success in incident hemodialysis patients: a prospective study. Clin J Am Soc Nephrol. 2008;3(1):78-84. doi: https://dx.doi.org/10.2215%2FCJN.00370107.
Rodríguez JH, López JP, Piera L. Vascular access in Spain: analysis of its distribution, morbidity, and monitoring systems. Nefrologia: publicacion oficial de la Sociedad Espanola Nefrologia. 2001;21(1):45-51.
Di Iorio BR, Bellizzi V, Cillo N, Cirillo M, Avella F, Andreucci VE, et al. Vascular access for hemodialysis: the impact on morbidity and mortality. J Nephrol. 2004;17(1):19-25.
Fitzgerald JT, Schanzer A, Chin AI, McVicar JP, Perez RV, Troppmann C. Outcomes of upper arm arteriovenous fistulas for maintenance hemodialysis access. Arch Surg. 2004;139(2):201-208. doi: https://doi.org/10.1001/archsurg.139.2.201.
Bakari AA, Nwankwo EA, Yahaya SJ, Mubi BM, Tahir BM. Initial five years of arterio-venous fistula creation for hemodialysis vascular access in Maiduguri, Nigeria. Internet J Cardiovasc Res. 2007;4(2):1-6.
Malovrh M. Native arteriovenous fistula: preoperative evaluation. Am J Kid Dis. 2002;39(6):1218-1225. doi: https://doi.org/10.1053/ajkd.2002.33394.
Malovrh M. Approach to patients with end-stage renal disease who need an arteriovenous fistula. Nephrol Dial Transplant. 2003;18(5):50-52. doi: https://doi.org/10.1093/ndt/gfg1047.
Hirth RA, Turenne MN, Woods JD, Young EW, Port FK, Pauly MV, et al. Predictors of type of vascular access in hemodialysis patients. JAMA. 1996;276(16):1303-1308. doi: https://doi.org/10.1001/jama.1996.03540160025028.
Manjuprasad, Ramesh V Outcomes of Arteriovenous fistula at KIMS: A tertiary hospital. Int J Surgery Sci. 2018;2(4):33-35.
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