Volume 17, Issue 68 (1-2009)                   jour guilan uni med sci 2009, 17(68): 22-26 | Back to browse issues page

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Guilan University of Medical Sciences
Abstract:   (6624 Views)
Abstract Introduction: Inability to establish a success vascular access or associated complications are major causes of morbidity and mortality in ESRD patients. Objective: Relative Frequency of Success and Complications of Vascular Access in End Stage Renal Disease (ESRD) in Razi Hospital (2007). Materials and Methods: This descriptive-cross sectional study was performed on ESRD patients in Razi Hospital. The data were collected based on interview and physical examination. Because of the probability of failure in access of any patient and need to another access establishment, the access numbers was more than the patients number. Results: Among total of 151 patients 59.6% of patients was man and 40.4% was woman. The mean age of patients was 54.22± 14.39 years. Success rate of dialysis was 86.1%. 82.9% of vascular access was used less than 2 months of creation (mean=31-60 days). 32 cases of complications (15.6%) were recorded which included: 9 cases of false aneurysm, 9 cases of venous hypertension, 5 cases of infection, 4 cases of steal syndrome, 3 cases of true aneurysm and 2 cases of thrombosis. The most number of complications were happened in antecobital AVF. Conclusion: Success rate of dialysis in this study is like that other studies. Because of patients don't refer in proper time use of vascular access was performed in less than 2 months of creation. It can increase complications and decrease patency rate of vascular access. On the other hand, to decrease the cost, usage of graft is less than native AVF, it could be reason of increased presence of complications in native AVF.
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Type of Study: Research | Subject: Special
Received: 2013/11/26 | Accepted: 2013/11/27 | Published: 2013/11/27