INTRODUCTION: Arteriovenous fistulas are a preferred choice for hemodialysis access in chronic kidney disease patients. There is increased adoption of arteriovenous fistula creation in Nepal. Our objective is to study various arteriovenous fistulas that have been created in our center. METHODS: This is a descriptive cross-sectional study conducted in a tertiary care hospital including all cases of arteriovenous fistula creation from January 2018 to December 2019. We obtained the ethical clearance from the institutional review committee of Kathmandu University School of Medical sciences. Convenient sampling method was used. Detailed vascular mapping and color doppler ultrasonography was done in the bilateral upper limb as preoperative preparation and to choose a site for arteriovenous fistula creation. Data were entered into the Statistical Package for the Social Sciences version 20 for analysis. RESULTS: Among 50 patients, the most common location was brachiobasilic 20 (40%) patients followed by brachiocephalic 18 (36%), radiocephalic 11 (22%), and arteriovenous graft between the brachial artery and axillary vein 1 (2%). The mean duration of hospital stay was 1.44 days. Three (6%) patients required re-intervention, all within 24 hours. Two (4%) patients had a failure of arteriovenous fistula requiring the creation of a new arteriovenous fistula. CONCLUSIONS: Brachiobasilic was the most common location for arteriovenous fistula creation. Reintervention was not common.
INTRODUCTION:Arteriovenous fistulas are a preferred choice for hemodialysis access in chronic kidney diseasepatients. There is increased adoption of arteriovenous fistula creation in Nepal. Our objective is to study various arteriovenous fistulas that have been created in our center. METHODS: This is a descriptive cross-sectional study conducted in a tertiary care hospital including all cases of arteriovenous fistula creation from January 2018 to December 2019. We obtained the ethical clearance from the institutional review committee of Kathmandu University School of Medical sciences. Convenient sampling method was used. Detailed vascular mapping and color doppler ultrasonography was done in the bilateral upper limb as preoperative preparation and to choose a site for arteriovenous fistula creation. Data were entered into the Statistical Package for the Social Sciences version 20 for analysis. RESULTS: Among 50 patients, the most common location was brachiobasilic 20 (40%) patients followed by brachiocephalic 18 (36%), radiocephalic 11 (22%), and arteriovenous graft between the brachial artery and axillary vein 1 (2%). The mean duration of hospital stay was 1.44 days. Three (6%) patients required re-intervention, all within 24 hours. Two (4%) patients had a failure of arteriovenous fistula requiring the creation of a new arteriovenous fistula. CONCLUSIONS: Brachiobasilic was the most common location for arteriovenous fistula creation. Reintervention was not common.
Authors: Maurizio Gallieni; Markus Hollenbeck; Nicholas Inston; Mick Kumwenda; Steve Powell; Jan Tordoir; Julien Al Shakarchi; Paul Berger; Davide Bolignano; Deirdre Cassidy; Tze Yuan Chan; Annemieke Dhondt; Christiane Drechsler; Tevfik Ecder; Pietro Finocchiaro; Maria Haller; Jennifer Hanko; Sam Heye; Jose Ibeas; Tamara Jemcov; Stephanie Kershaw; Aurangzaib Khawaja; Laura Labriola; Carlo Lomonte; Marko Malovrh; Anna Marti I Monros; Shona Matthew; Damian McGrogan; Torsten Meyer; Sotirios Mikros; Ionut Nistor; Nils Planken; Ramon Roca-Tey; Rose Ross; Max Troxler; Sabine van der Veer; Raymond Vanholder; Frank Vermassen; Gunilla Welander; Teun Wilmink; Muguet Koobasi; Jonathan Fox; Wim Van Biesen; Evi Nagler Journal: Nephrol Dial Transplant Date: 2019-06-01 Impact factor: 5.992
Authors: Jürg Schmidli; Matthias K Widmer; Carlo Basile; Gianmarco de Donato; Maurizio Gallieni; Christopher P Gibbons; Patrick Haage; George Hamilton; Ulf Hedin; Lars Kamper; Miltos K Lazarides; Ben Lindsey; Gaspar Mestres; Marisa Pegoraro; Joy Roy; Carlo Setacci; David Shemesh; Jan H M Tordoir; Magda van Loon; Philippe Kolh; Gert J de Borst; Nabil Chakfe; Sebastian Debus; Rob Hinchliffe; Stavros Kakkos; Igor Koncar; Jes Lindholt; Ross Naylor; Melina Vega de Ceniga; Frank Vermassen; Fabio Verzini; Markus Mohaupt; Jean-Baptiste Ricco; Ramon Roca-Tey Journal: Eur J Vasc Endovasc Surg Date: 2018-05-02 Impact factor: 7.069