Vascular access outcomes in patients on haemodialysis in Duhok kidney disease center

Abstract EN

Background and objectives Patients with chronic renal failure have only two options of treatment either renal transplantation or dialysis (peritoneal or haemodialysis), haemodialysis need efficient, comfortable, easy accessible, long duration and least complication vascular access.

We try to analyze 102 patients and evaluating their vascular access.

The aim of the study is compare between different types of vascular access and assessing, the efficiency, durability, and complications associated with that vascular access.

Methods This is retro and prospective study for patients with vascular access on haemodialysis; sample is collected from Jun 2009 to 30th June, 2013 in Duhok Kidney Disease Center.

Results Hundred two patients included in this study.

Diabetes was the most common cause of end stage renal failure in the studied group.

76.4 % of the studied group was with arteriovenous fistula.

Small vein was the most common reason for creation of graft fistula.

Edema was the commonest complication among arteriovenous fistula where thrombosis was among the graft fistula.

Conclusions Only 10% of the studied group present early for creation of vascular access before needing urgent dialysis.

Complications seem to be equal in both sexes in arteriovenous fistula type of access but its more than four folds in women with graft fistula.

Aneurysm in patients with arteriovenous fistula is high in this study in compares to other studies.