Trujillo AJC, Serrano LJA, Rojas GC, López MAR, Bravo AE

Language: Spanish
References: 11
Page: 147-152
PDF size: 28.00 Kb.

ABSTRACT

Objective: To determine the incidence of complications secondary to the arteriovenous fistula for hemodialysis procedure, in the period between January 2009 to June 2011.
Material and methods: A revision of files of patients who had an arteriovenous fistula for hemodialysis procedure between January 2009 to June 2011 in the Hospital Lic. Adolfo Lopez Mateos, ISSSTE was performed. Gender, age, pre surgical assessment of the blood vessels by Doppler ultrasonography, type of fistula, type of anastomosis, complications and management of the latter were the studied variables.
Results: A total of 80 arteriovenous fistulas for hemodialysis were performed in the study period. 15 patients had a complication, excluding 2 patients with an incomplete file, for a total of 13 patients. There were 17 complications in 13 patients, with ages between 37 to 76 years, mean of 57.3 years old; 8 women and 5 men; 14 arteriovenous fistulas were autologous (82.3%) and 3 with PTFE graft (17.7%). The complications found were: venous hypertension (6 patients), thrombosis (five), venous aneurysms (two), steal syndrome (two), infection of the graft (one), surgical wound infection (one); 14 fistulas were dismantled, rescuing only 3 of them.
Conclusions: The incidence of complications was 18.75%. The literature reports agree with what was found in our study for frequency and types of complications. Our salvage rate for the arteriouvenous fistulas is low, rescuing only 3 fistulas (17.5%).

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