Peripheral Arterial Disease in Hemodialysis Access

Pillai, Akshita S.; Kumar, G.; Kalva, Sanjeeva P.

doi:10.1007/978-3-030-52994-9_15

Cited by 1 publication

(1 citation statement)

References 38 publications

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“…There are three forms of traditional vascular access: 1) autologous arteriovenous fistulas (AVF), which are the best option in terms of complications and survival. 2)arterial-venous grafts (AVG; prosthetic VA's made of synthetic material) and 3) a central venous catheter (CVC) [put in a vein with a high calibre (usually the jugular, femoral, or subclavian veins)] (5) .…”

Section: Introductionmentioning

confidence: 99%

Predictors of Angio Access Failure in End Stage Renal Disease Patients in Southern Egypt

Galal¹,

Kerdawi²

2021

The Egyptian Journal of Hospital Medicine

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Background: Hemodialysis (HD) seems to be the most often used Renal Replacement Therapy (RRT) modality worldwide, and it is the primary modality in the majority of instances with extended RRT. The ability to provide our patients with high-quality HD treatment while also increasing their chances of survival is heavily reliant on the functionality of the vascular access (VA). Despite the fact that it is a very necessary component of all clinical practise standards, it is the most expensive individual component of RRT.Objectives: This study was aimed at comparing between the group with Angio access failure and group without Angio access failure and predicting Angio access failure among end stage renal failure patients in Southern Egypt.Subjects and Methods: a prospective cohort study among 125 patients with end stage renal failure at Aswan University. The research comprised patients who had NCVA placement [intra-atrial catheter (IAC) and trans-lumbar catheter (TLC)] between January 1, 2020, and December 31, 2020. Results:The duration of previous RRT was significantly higher among the Angio access failure than the group without Angio access failure. In multivariate analysis using logistic regression, the age, duration of previous RRT, diabetes, IHD (ischemic heart disease), PVD (peripheral vascular disease) and CVD (cardiac vascular disease) were significantly direct predictors of the Angio access failure in the first one year. Conclusion:In conclusion the failure of Angio access was positively associated with age, previous RRT and other comorbidities.

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Section: Introductionmentioning

confidence: 99%