Analysis of A-V fistulas done for ESRD patients in Aden 2005-2009

Abstract EN

Objectives : The objectives of this study were to determine the frequency the ESRD and to study the site of arteriovenous fistulas, results in both genders and the outcomes and complications.

Methodology : A retrospective review of all ESRD records of patients who underwent operations for AVF done by vascular surgeons from January, 2005 to December, 2009 was undertaken.

The study was conducted in the Hemodialysis Center, Al-Gamhoria Teaching Hospital, in Aden.

Results : The total study patients were 86 (males 57 and females 29).

The mean age was 42.7 ± 14.4 years.

The performed operations were the radiao-cephalic arteriovenous fistulas (radial AVF) (49 cases) and the brachio-cephalic arteriovenous fistulas (brachial AVF) 37 cases.

The maturated AVFs were (74.4%).

In females the maturated brachial AVFs were more than the radial AVFs.

The complications were found in 66.3% cases and the most common were venous hypertension (40%), rupture before maturation (21%), and deep venous thrombosis (17.5%).

In relation to the site, in radial AVFs the most common complications were rupture before maturation and deep venous thrombosis and, in brachial AVFs, the venous hypertension was higher, (p < 0.05).

The age group 30-39 years was with higher rate of complications (33.4%).

Chronic ischemia was high in patients of the age group 50 years and over.

Conclusion : The results of our study revealed important findings and a more directive approach to improve and development of the work in the dialysis center.

Further studies are required to confirm these initial findings and to translate this work into meaningful clinical practice which will have direct implications for patients care.