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[Vascular access and chronic renal failure].

A Oncevski1, P Dejanov, V Gerasimovska

  • 1Centre hospitalier universitaire, clinique de néphrologie, Skopje, République de Macédoine.

Annales D'Urologie
|January 6, 2001
PubMed
Summary

Over nearly 25 years, Skopje hospital performed 8,849 vascular access procedures for dialysis, with a significant increase in preventive arteriovenous fistulas (AVFs) and a preference for femoral catheters for temporary access.

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Area of Science:

  • Nephrology
  • Vascular Surgery
  • Dialysis Access

Context:

  • Analysis of 8,849 vascular access procedures performed between 1976 and 1999 at Skopje hospital.
  • Focus on the types and trends of surgical interventions for hemodialysis access.

Purpose:

  • To review the historical trends and methods of vascular access creation for dialysis.
  • To identify preferred access types and changes in practice over a 23-year period.

Summary:

  • Native arteriovenous fistulas (AVFs), arteriovenous shunts, and temporary/indwelling catheters were employed.
  • Femoral vein catheterization was the predominant method for temporary dialysis access (90.50%).
  • A notable increase in preventive AVFs was observed, rising from 14% in the 1980s to 31.50% in 1999.

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Impact:

  • Highlights the shift towards more permanent vascular access solutions like AVFs.
  • Indicates the evolving strategies in managing dialysis vascular access in a specific clinical setting.
  • Suggests the feasibility of performing a significant portion of these procedures in a day hospital setting.