بررسي ميزان بازماندن و بروز عوارض در اعمال جراحي DIALISIS

Evaluation of Patency Rate and Complications in Dialysis Access Surgery

Background: Angioaccess is one of the main treatment procedures for surgeons considering dialysis patients. End stage renal disease patients have to spend most of their lives under dialysis; therefore, given the high expenditure of angioaccess surgeries, this study was conducted to evaluate the patency rate and complications of arteriovenous access operations. Methods: In this prospective study, 169 patients underwent 311 access surgeries for hemodialysis. Data was collected through questionnaires and analyzed by SPSS. Findings: Life table analysis showed that of 169 patients with fistulas, 84.9% of cases were patent after 2 months, and 80.5% and 73% were patent after 4 and 6 months, respectively. There was no significant difference between diabetic and non-diabetic patients patency rate in cubital access, but the patency rate in distal fistulas was significantly lower in diabetics. Different complications were recorded in 48.6% of patients, mainly heart failure and mild edema. • ORIGINAL ARTICLE ABSTRACT Evaluation of Patency Rate and Complications in Dialysis Access Surgery Correspondence Address: Vascular Surgery Research Center, Imam Reza Hospital, Mashhad, Iran Tel: +98-511-8525311 Email: Conclusion: Diabetes was higher among our cases than normal population which can be due to poor screening programs and low information on risks and correct follow-up of patients. In diabetic patients, cubital fistulas should be considered prior to distal accesses. Complication rate in our study was higher than those reported. Sincc complications are significantly surgeon dependent, more attention to residential education and participating in related workshops can be helpful.