P1368EVOLUTIVE PROFILE OF HEMODIALYSIS VASCULAR ACCESSES
| Autor: | Elloumi Zied, Chermiti Mohamed, Imen Gorsane, Mechri Aya |
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| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Nephrology Dialysis Transplantation. 35 |
| ISSN: | 1460-2385 0931-0509 |
| DOI: | 10.1093/ndt/gfaa142.p1368 |
| Popis: | Background and Aims Arterio-venous fistula (AVF) is considered to be the first choice vascular access for hemodialysis (HD). Hemodialysis catheter (KT) may be a temporary or permanent alternative. The aim of our work was the study of indications, and complications’ contributing factors of KT, and to identify complications and predictive factors of AVF survival. Method It’s a retrospective, descriptive, analytic, and multicentric study interesting AVF and KT created in patients with end stage renal disease and who have been treated with hemodialysis in the four hemodilysis centers of the KEF governorate in Tunisia over the period from 01/07/18 to 31/12/18. Results We have studied 288 AVF and 148 KT that were created in 205 patients averaging 58.14 ±15.56 years in age [25-93 years]. The sex ratio was 1.5. Diabetic nephropathy was the most common (25.9%). For the KT, the main indication was the wait of AVF creation (68.9%). The overall incidence of immediate complications was 11.5%. Dysfunction was reported in 23.6% of cases with obesity (p=0.035) and tunneled type of KT (p=0.045) as contributing factors. KT infection, occuring in 39.2% of cases, was promoted by prolonged duration of use (p=0.041) and hemoglobin level Conclusion Despite of concerted efforts, much remained to be done to reduce the incidence of catheterization, the creation of AVF on time and the prevention of its complications. |
| Databáze: | OpenAIRE |
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