Garcidueñas-Briceño CM, Vega-Lafarga PE, Vega-Ocegueda R, Alcántara SR

Language: Spanish
References: 7
Page: 37-40
PDF size: 111.61 Kb.

ABSTRACT

Introduction: The KDOQI guidelines recommend that autologous arteriovenous fistulae must be made in 65% of the patients suitables for hemodialysis, and at least 40% of the patients will use its fistulae as their vascular access.
Objective: To report our experience in the application of a strategy for the creation of vascular access.
Material and methods: We included 61 patients with chronic renal failure in hemodialysis. Patients with central venous catheters were scheduled for construction of autologous fistulae, we considered potential candidate to all patients.
Results: Of the 61 included patients, 29 had a CVC and 12 an AVF. We constructed 29 fistulae in 27 patients. 26 antecubital, 2 radiocephalic and 1 humerobasilic. There were no major complications. 48% of the fistulas were used at the end of the study, this represent 65% of the fistulae of less than 6 weeks. Only nine patients had no fistula at the end of the study.
Conclusions: We exceeded by 16% the goal of the NKF-KDOQI of 40% of patients dialyzed using autologous fistula.

REFERENCES

1. US Renal Data System 1999 annual report. Bethesda, Md: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases; 1999.

2. National Kidney Foundation’s KDOQI 2006 Vascular Access Guidelines. Am J Kidney Disease 2006: 48(Suppl. 1): S177-S322.

3. Pisoni RL, Young EW, Dykstra DM, Greenwood RN, Hecking E, Gillespie RL, et al. Vascular access use in Europe and the United States: results from the DOPPS. Kidney Int 2002; 61: 305-16.

4. Norma Oficial Mexicana para la práctica de hemodiálisis. NOM-171-SSA1-1998.

5. Wells AC, Fernando B, Butler A, Huguet E, Bradley JA, Pettigrew GJ. Selective use of ultrasonographic vascular mapping in the assesment of patients before hemodialysis access surgery. Br J Surg 2005; 92: 1439-43.

6. Arteriovenous Fistula First Breakthrough Coalition. Available from: http://www.fistulafirst.org [Acceso: febrero 15, 2011].

7. Ethier J, Mendelssohn DC, Elder SJ, Hasegawa T, Akizawa T, Akiba T, et al. Vascular access use and outcomes: an international perspective from the dialysis outcomes and practice patterns study. Nephrol Dial Transplant 2008; 23: 3219-26.