| Autor: |
Isabelle, Kolb, Théogène, Twagirumugabe, Innocent, Uyisabye, Jérôme, Muhizi, Laura, Braun-Parvez, Sarah, Richter, Joseph, Ntarindwa, Jean-de-Dieu, Nzambaza, Richard, Rwandenzi, Martine, Kibuka, Françoise, Mantz |
| Jazyk: |
francouzština |
| Rok vydání: |
2014 |
| Předmět: |
|
| Zdroj: |
Nephrologietherapeutique. 10(6) |
| ISSN: |
1872-9177 |
| Popis: |
Chronic hemodialysis in Rwanda is relatively recent and most of patients are treated with catheters.Thirty-seven patients who require chronic hemodialysis with catheters were evaluated during a 3-years period in order to facilitate the creation of a permanent vascular access for hemodialysis (AVF). Patient selection were made during a multi-disciplinary consultation. The sex-ratio was 1.5 and the main cause of the nephropathy was arterial hypertension.Thirty-one patients benefited from the creation of an arterioveinous fistula. All of the interventions were performed using local or loco-regional anesthesia. Sixty percent of these AVF were radio-cephalic, 35.4% were humero-cephalic. Sixty-four percent of the operations were performed on ambulatory patients, with a primary function for 90% of them.This work proves the feasibility of the creation of AVF in Rwanda, thus allowing to preclude the various complications that arise with the prolonged use of a catheter. This experience was made possible by the pooling of the resources of 4 of Rwanda's leading hospitals. In an early future, the development of vascular surgery will assure the permanence of this care. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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