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Journal of Guilan University of Medical Sciences. 2009; 17 (68): 22-26
em Persa | IMEMR | ID: emr-196115

RESUMO

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 sectiom1I study was performed on ESRD patients in Razi Hospital. The data were collected based on interview and physical examination. Because of the probability or failure in access of any patient and need lo 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=3 l-60 days]. 32 cases of complications [15.6%] were recorded which in 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 antecubital A VF


Conclusion: success rate of dialysis in this study is like that other studies. Because or 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 grail is less than native AVF; it could be reason of increased presence of complications in native AVF

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