Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2021  |  Volume : 34  |  Issue : 1  |  Page : 141-147

Vascular access in hemodialysis patients – Tanta University Hospital hemodialysis center's experience


Internal Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt

Correspondence Address:
Ghada M Alghazaly
Assistant Professor of Internal Medicine, Faculty of Medicine, Tanta University, Internal Medicine, Department Faculty of Medicine Tanta University Algesh Street, Tanta
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mmj.mmj_308_20

Rights and Permissions

Background A well-functioning vascular access is essential to provide efficient dialysis therapy. Morbidity related to vascular access is the leading cause of hospitalization in hemodialysis (HD) patients. Objectives To analyze the vascular access in maintenance HD patients and to assess its associated complications. Patients and methods A total of 101 patients on regular HD were included, and data were collected through a preformed questionnaire focusing on vascular access. Results Of the 101 patients studied, the vascular access at initiation of HD was temporary catheter in 95% and arteriovenous fistula (AVF) in 5% of the patients. Current vascular access was native AVF in 94%, temporary catheters in 1%, and permanent tunneled cuffed catheter in 5% of the patients. No arteriovenous graft was created. A tunneled catheter was inserted in the internal jugular vein in 99% of cases. A native AVF was created in 99% of the patients as the first permanent access. It was radioscephalic in 35%. The primary failure rate was 14%. The commonest complication with AVF was thrombosis (21%). Conclusion Temporary dialysis catheters were the most common initial vascular access. Native AVF was the most common vascular access. Thrombosis was the most common complication.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed240    
    Printed0    
    Emailed0    
    PDF Downloaded55    
    Comments [Add]    

Recommend this journal