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Vascular access for hemodialysis: Current practice in Vietnam
Long Duc Dinh1, Dung Huu Nguyen1
1Hemodialysis Department, Bach Mai Hospital, Hanoi, Vietnam.
The Journal of Vascular Access
|January 1, 2019
Summary
Creating arteriovenous fistulas is crucial for hemodialysis patients. While native arteriovenous fistulas are preferred, catheters are common due to challenges in creating permanent vascular access.
Area of Science:
- Nephrology
- Vascular Surgery
Background:
- Vascular access is essential for hemodialysis, impacting patient quality of life.
- Three main types exist: native arteriovenous fistula, arteriovenous graft, and central venous catheter.
- Arteriovenous fistulas are the preferred choice due to longevity and lower complication rates.
Purpose of the Study:
- To review vascular access practices for hemodialysis.
- To highlight the challenges and alternatives in vascular access creation.
- To assess the current state of vascular access at Bach Mai hospital.
Main Methods:
- Descriptive analysis of vascular access types and their utilization.
- Review of clinical practices and outcomes at Bach Mai hospital.
- Comparison with international guidelines and standards.
Main Results:
- Native arteriovenous fistulas are recommended, but their creation can be complex.
- 84.98% of new hemodialysis patients at Bach Mai hospital start with temporary central venous catheters.
- The successful maturation rate for arteriovenous fistulas is 92.6%.
Conclusions:
- Despite successes, a significant gap remains in vascular access compared to advanced countries.
- Integration of a vascular access team is vital for proper maintenance.
- Continued efforts are needed to improve permanent vascular access options for hemodialysis patients.
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