Open AccessOutcome of upper limb vascular access for hemodialysis
Author(s) -
Moaath Alsmady,
Awni Shahait,
Izzat AlAwwa,
Mohammad G Riziq,
Abdel Munem Ali Abusba,
Abdullah Al-Qudah
Publication year - 2015
Publication title -
saudi journal of kidney diseases and transplantation/našrat amraḍ wa zira'aẗ al-kulaẗ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.268
H-Index - 30
eISSN - 2320-3838
pISSN - 1319-2442
DOI - 10.4103/1319-2442.168626
Subject(s) - medicine , vascular access , hemodialysis , diabetes mellitus , hemodialysis access , surgery , retrospective cohort study , complication , upper limb , arteriovenous fistula , endocrinology
The aim of this study was to investigate the outcome of vascular access procedures for hemodialysis and factors affecting access survival and complication rates. A retrospective review was carried out on 276 patients who underwent 404 consecutive vascular access operations performed over seven-years. The overall primary failure rate was 9.2%, while the oneand five-year cumulative access patency rates were 63.8% and 40.6%, respectively. Diabetes mellitus status significantly influenced access survival (P = 0.022). Autogenous arteriovenous fistulas (AVFs) are reliable procedures with access sites often available in the upper limb proximally and distally. Patients with diabetes mellitus have significantly worse patency rates of upper limb AVFs.