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Background: Vascular access VAis the life line for end stage renal disease ESRD. Though there are manymethods of VA, native arteriovenous fistula AVF is the oldest and the best.AVFs are prone to develop some complications. The aim of this combinedprospective and retrospective clinical study was to assess the outcome of nativehaemodialysis AVF in Baghdad Medical City Teaching Hospital, Baghdad, Iraq. Materials and Methods: Sixty-sevenpatients 43 males and 24 females with ESRD were studied over 6 months, from April1 to September 30, 2013. Demographic and clinical features as well asco-morbidities were checked. Allen’s test and examination of upper limbsuperficial veins were performed. Radio-cephalic or brachio-cephalic AVFs werecreated mostly under local anaesthesia using artery-side to vein-endanastamoses. Complications were noted during a follow-up period of 2 weeks to 6months. Results: The mean agewas 51.2 ± 14.4 years. Fistulas n = 81 were mostly brachio-cephalic n = 74,91.4%. One fifth of patients were diabetics and 58.2% were hypertensive. Endof the vein to side of the artery was used in 92.5%. All fistulae functionedprimarily. Significant complications were thrombosis n = 18, 22.2%, aneurysmsn = 3, 4.5% and steal syndrome n = 3, 13.6%. Distal oedema, venouscongestion, wound infection and seroma were managed conservatively. Threesurgical revisions were required, one for a large aneurysmal dilationaneurysmectomy and vessel ligation and two for an evacuation of seroma. Conclusion: AVF initial success wasgood. Late complications such as aneurysms and steal syndrome were almostwithin the reported rates whilst thrombosis was high.


ESRD; Vascular Access; Native AVF; Complications

Cite this paper

A. Taha, O. Diab and S. Jaber -Outcome of Haemodialysis Arteriovenous Fistula in Baghdad, Iraq,- International Journal of Clinical Medicine, Vol. 5 No. 1, 2014, pp. 12-17. doi: 10.4236-ijcm.2014.51003.

Autor: Abdulsalam Y. Taha, Omer Ahmed Diab, Sabah N. Jaber

Fuente: http://www.scirp.org/


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