Accesos vasculares para hemodiálisis (2004-2005)

  1. Ángel Barba-Vélez 1
  2. Julen Ocharan-Corcuera 2
  3. Luis Estallo-Laliena 1
  4. Melina Vega-de-Céniga 1
  5. Natalia de-la-Fuente-Sánchez 1
  6. Ramón Gómez-Vivanco 1
  7. Aitziber Salazar-Agorri 1
  8. Maite Izaguirre-Loroño 1
  1. 1 Servicio de Angiología y Cirugía Vascular. Hospital de Galdakao. Galdakao. Bizkaia. España
  2. 2 Servicio de Nefrología. Hospital de Galdakao. Galdakao. Bizkaia. España
Zeitschrift:
Diálisis y trasplante: publicación oficial de la Sociedad Española de Diálisis y Trasplante

ISSN: 1886-2845

Datum der Publikation: 2006

Ausgabe: 27

Nummer: 3

Seiten: 79-85

Art: Artikel

DOI: 10.1016/S1886-2845(06)71046-3 DIALNET GOOGLE SCHOLAR lock_openOpen Access editor

Andere Publikationen in: Diálisis y trasplante: publicación oficial de la Sociedad Española de Diálisis y Trasplante

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Zusammenfassung

Objective: To report our results in performing vascular access procedures for hemodialysis (VAHD). Patients and method: Between 2004 and 2005, we performed 119 procedures for VAHD in 90 patients. Results: Most of the patients (64.4 %) were men and the mean age was 67.5 years (29-86). The most frequent comorbidities were hypertension (63.5 %), diabetes (25.4 %), and heart disease (30.4 %). Twenty-five patients (27.8 %) had previously undergone some type of VAHD. Fifty-seven (48.7 %) brachiocephalic arteriovenous fistulas (BC-AVF) were performed and 9 (7.5 %) PTFE grafts were used. The left upper limb was used in 76 patients (63.9 %). Only one procedure was required in 69 patients (76.7 %), 73.9 % of whom were men, with a mean age of 68.6 years. The primary patency rate was 76.7 % after 24 months, with a mean follow-up of 10.9 months (1-24). Fifty procedures were performed in the 21 patients in whom the first VAHD failed. Most of these patients were women (66.7 %) with a higher mean age (74.5 years). Six teen (17.8 %) of these patients received 2 VAHD, 2 patients (2.2 %) underwent 3 VAHD, and the remaining 3 patients (3.3 %) received 4 VAHD. Most (42.9 %) VAHD that failed, did so during the first month after construction. There were 4 (3.4 %) complications in our series: 2 distal ischemic steal syndromes (1.7 %) and 2 prosthetic infections (1.7 %). Conclusions: BC-AVF is the most widely used vascular access procedure for hemodialysis. Age, sex and atherosclerosis are risk factors for the failure of VAHD. The complication rate of these procedures is low.

Fuente de los datos: Dialnet