Complication of radial and brachial vascular access in chronic hemodialysis

Abstract EN

Dialysis access is a vital lifeline for patients with renal failure, Accessing problems can be vexing and frustrating for both physician and the patient The aim of this retrospective study is to evaluate the complications of creating two types of arteriovenous fistulas (AVF) in a consccutive series of chronic hemodialized patients.

Methods: The analysis was performed over 108 patients (44 females and 54 males).

Among them, 57 ( 52.8%) had Radiocephalic (RF) Arteriovenous Fistulas and 51 (47.2%) had Brachial (8F) Arteriovenous fistulas (Brachiobasilic or Brachiocephalic).

We evaluated the patients for possible complications of their hemodialysis accesses by careful history taking and physical examination Results: Sixty two point nine percent of patients had at least one of the complications like Thrombosis, Pseudoaneurysm, Infection, Hand dysfunction and heart failure.

Conclusion: Diabetics and the patients who began hemodialysis with a hypertension had more complication rates.

An increase in dialysis frequency is associated with more complication rate.