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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2018, Number 3

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Rev Mex Angiol 2018; 46 (3)

El impacto de realizar una fistula arteriovenosa en tiempo óptimo y posterior al mismo, de acuerdo con internacionales, en pacientes con enfermedad renal crónica terminal durante el periodo del 2012 al 2016 en el HRLALM

Álvarez-Arcaute NR, Flores-Escartín MH, Serrano-Lozano JA, Guardado-Bermúdez F, Arriaga-Caballero JE, González-Villegas P

Language: Spanish
References: 16
Page: 94-99
PDF size: 157.37 Kb.


ABSTRACT

Introduction. Terminal Chronic Kidney Disease is a chronic degenerative disease that threatens the patient with a lower hope and quality of life, and we are behind in the diagnosis and timely treatment.
Objective. Report the statistics of patients who underwent Arteriovenous Fistula in the Service of Angiology and Vascular Surgery at the Hospital Regional “Lic. Adolfo López Mateos” (HRLALM), ISSSTE.
Material and methods. 278 cases were analyzed who underwent arteriovenous fistulas from January 2012 to December 2016
Results. 45 presented complications and some re-intervention or were dismantled. The time between diagnosis of ERCT and the first consultation was up to 5 years. The glomerular filtration rate presented by the patients at the time they were sent to our service was on average 8.09 mL/min/1.73 m2.
Discussion. The most frequent complication was: thrombosis and pseudoaneurysms of the fistula and in terms of the treatment of complications, only 43% were successful in maintaining the functional AVF.
Conclusions. According to the international guidelines KDIGO previously KDOQI, as well as the program Fistula First; it is recommended to refer patients with CRD since they present a glomerular filtration rate ‹ 30 mL/min/1.73 m2, 100% our patients were not sent within that range leaving the patient with a dependence on catheter-type venous access or access depletion. It is required a management in conjunction with the Services of Nephrology, Urology and Angiology, Vascular and Endovascular Surgery to establish a renal replacement therapy clinic to reduce waiting times for attention as well as surgical programming.


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