A Study of Arteriovenous Fistula Failure in Haemodialysis Patients
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 1
Abstract
Fistula failure is frequent cause of increased mortality ,morbidity ,psychological and financial burden in End Stage Renal Disease(ESRD) patients who are on hemodialysis (HD) for survival in developing countries where renal transplants is not affordable by common people. There are multiple factors leading tofailure of arteriovenous fistula (AVF) in these patients like diabetes,atherosclerosis and out of these technical errors, hypotension, site of insertion, infection of fistula are the common preventable causes of failure. 244patients underwent dialysis from May 2005 to April 2013 for end stage renal disease and 55 patients (22.5%) never got AVF done for various reasons and therefore 189 patients (77.5%) with 224 AVF studied. In addition to underlying disease such as diabetes mellitus other factors such as hypotension ,infection gender,site, side differences recorded when AVF failed. Total of 189 (77.5%) patients, males constituted (79%), Non -DM (64.6%) A total of AVF 224 performed on 189 patients. and 77% of AVF were done on left hand and radial was predominant (55%).AVF failure was more in males (68.5%) compared to females(31.5%)and Non- DM (66%) had failures than diabetes(34%)because of the larger representation .AVF done on left (86%) failed as more number of fistula were on the that side. Similarly (80%) of radials failed.25 percent failed primarily (before dialysis) commonly due to drop in blood pressure and infections and improper selection of vessel for AVF and among the remaining 75%, 50% patients had functional AVF for at least 24 months and 25% of them 13 months functioned and then failed mainly due to hypotension during hemodialysis and recurrent failures were vessel thrombosis, technical difficulty. Keywords: AVF, CKD, DM, ESRD, Hemodialysis
Authors and Affiliations
Dr. Pramila Devi. R, Dr. Satish Biradar
Keywords
Related Articles
- EP ID EP374877
- DOI -
- Views 87
- Downloads 0
Ovarian tumor: Types and patterns of occurrence in Barak Valley of Assam
Abstract: Ovarian tumors are one of the most common neoplasms encountered in females. A one year retrospective study of ovarian tumors was carried out in a tertiary care hospital to find out the different histological ty...
To Study and type the Ovarian Tumors based on Histopathological features
Abstract: Ovary is the most important organ, as it is concerned with the reproduction of progeny. Ovary is also unique in the variety of lesions that can arise from it. Ovarian cancer accounts for about 3% of all cancers...
Dyslipidemia – Could It Be A Reliable Prognostic Factor In Cirrhosis Of Liver? An Approach to Find Out By A Cross Sectional Analytical Study in a Tertiary Care Hospital
Abstract: Cirrhosis is the end stage consequence of fibrosis of hepatic parenchyma, resulting in nodule formation that may lead to altered hepatic function and blood flow. There are a wide variety of tests to evaluate th...
A Study on the Efficacy of Mesotherapy with Finasteride versus Oral Finasteride for the Treatment of Androgenetic Alopecia
Abstract: Androgenetic alopecia is condition of patterned hair loss. It is a psychologically distressing condition. Mesotherapy is a technique of delivery of topical solutions in the middle layer of the skin.The aim is...
Effect of Hyperventilation on Cognitive Functions
Abstract: Hyperventilation causes various physiological changes and may lead to altered cognitive functions. This pilot study was done to assess the effect of hyperventilation on digit span forward task. 32 first year me...