The creation of permanent vascular access for hemodialysis: 10-years of experience in a single center
Abstract
The developments in hemodialysis techniques have spurred new interest in the field of the permanent vascular access for long-term renal replacement therapies. The program of creating of reliable vascular access in hemodialysis patients is now considered as a multidisciplinary problem that must include a collaboration of nephrologists, surgeons and hemodialysis specialists. Here we report a retrospective review of creating and maintaining of permanent vascular access. We evaluated the outcomes of 3174 surgical operations in 2281 patients from January 2001 to December 2011 in our center. The 1812 lower-arm radiocephalic and 547 upper-arm fistulas were created, the secondary fistula 1-year patency was 83,2% and 81,5%, respectively (no significantly statistically difference). The native arteriovenous fistula at the wrist is generally accepted as the vascular access of choice in hemodialysis patients.
References
1. Бикбов Б.Т., Томилина Н.А. Состояние заместительной терапии больных с хронической почечной недостаточностью в Российской Федерации в 1998–2009 гг. (отчет по данным Российского регистра заместительной почечной терапии) // Нефрология и диализ. 2011. Т 13. № 3. С. 150–264.
2. Agarwal A.K., Patel B.M., Haddad N.J. Central Vein Stenosis: A Nephrologist's Perspective // Semin. Dial. 2007. Vol. 20 (1). P. 53–62.
3. Dwyer A., Shelton P., Brier M., Aronoff G. A vascular access coordinator improves the prevalent fistula rate // Semin. Dial. 2012. Vol. 25 (2). P. 239–243.
4. Field M., Van Dellen D., Mak D. et al. The brachiobasilic arteriovenous fistula: effect of patient variables // J. Vasc. Access. 2011. Vol. 12 (4). P. 325–330.
5. Glass C., Porter J., Singh M. et al. A large-scale study of the upper arm basilic transposition for hemodialysis // Ann. Vasc. Surg. 2010. Vol. 24 (1). P. 85–91.
6. Heikkinen M., Salenius J.P., Auvinen O. Projected workload for a vascular service in 2020 // Eur. J. Vasc. Endovasc. Surg. 2000. Vol. 19 (4). P. 351–355.
7. Jackson J.W., Lewis J.L., Brouillette J.R., Brantley R.R. Jr. Initial experience of a nephrologist-operated vascular access center // Semin. Dial. 2000. Vol. 13 (6). P. 354–358.
8. Jennings W.C., Taubman K.E. Alternative autogenous arteriovenous hemodialysis access options // Semin. Vasc. Surg. 2011. Vol. 24 (2). P. 72–81.
9. Kian K., Asif A. Status of research in vascular access for dialysis // Nephrol. Dial. Transplant. 2010. Vol. 25 (11). P. 3682–3686.
10. Konner K. Should nephrologists be in charge? // Contrib. Nephrol. 2005. Vol. 149. P. 121–130.
11. Lomonte C., Basile C. The role of nephrologist in the management of vascular access // Nephrol. Dial. Transplant. 2011. Vol. 26 (5). P. 1461–1463.
12. Mickley V. Central vein obstruction in vascular access // Eur. J. Vasc. Endovasc. Surg. 2006. Vol. 32 (4). P. 439–444.
13. Morsy M., Betal D., Nelson S. et al. Pre-emptive angioaccess for haemodialysis in the elderly // Nephrol. Dial. Transplant. 2011. Vol. 26 (11). P. 3666–3670.
14. Nakai S., Iseki K., Itami N. et al. Overview of Regular Dialysis Treatment in Japan (as of 31 December 2009) // Ther. Apher. Dial. 2012. Vol. 16 (1). P. 11–53.
15. National Kidney Foundation. KDOQI Clinical Practice Guidelines for Vascular Access: Update 2006 // Am. J. Kidney Dis. 2006. Vol. 48 (1). P. 176–307.
16. Richardson A.I. 2nd, Leake A., Schmieder G.C. et al. Should fistulas really be first in the elderly patient? // J. Vasc. Access. 2009. Vol. 10 (3). P. 199–202.
17. Sato Y., Miyamoto M., Yazawa M. et al. Brachial-brachial autogenous arteriovenous fistula in a dialysis patient with Staphylococcus aureus bacteremia // J. Artif. Organs. 2010. Vol. 13 (1). P. 51–53.
18. Swindlehurst N., Swindlehurst A., Lumgair H. et al. Vascular access for hemodialysis in the elderly // J. Vasc. Surg. 2011. Vol. 53 (4). P. 1039–1043.
19. Woo K., Doros G., Ng T., Farber A. Comparison of the efficacy of upper arm transposed arteriovenous fistulae and upper arm prosthetic grafts // J. Vasc. Surg. 2009. Vol. 50 (6). P. 1405–1411.
Review
For citations:
Beliaev A.Y. The creation of permanent vascular access for hemodialysis: 10-years of experience in a single center. Nephrology and Dialysis. 2012;14(3):164-169. (In Russ.)
Views:
8
Email this article 