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Acta Biomedica Scientia

Volume 6, Issue 3, 2019
Mcmed International
Acta Biomedica Scientia
Issn
2348 - 215X (Print), 2348 - 2168 (Online)
Frequency
bi-annual
Email
editorabs@mcmed.us
Journal Home page
http://mcmed.us/journal/abs
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Abstract
Title
INCREASING ARTERIOVENOUS FISTULAS IN HEMODIALYSIS PATIENTS: PROBLEMS AND SOLUTIONS IN MEDICAL COLLEGES AND HOSPITALS
Author
Sainath G V B
Email
sai.gmc@yahoo.co.in
keyword
Dialysis, Diabetes Mellitus, Hypertension, End Stage Renal Disease
Abstract
Dialysis using a peripheral access which has high patient compliance is easy to use and is inexpensive. Arteriovenous fistula is very essential for dialysis and the acceptance rate of failure for this procedure is important because it is not a curative procedure. Hence a failure in the technical aspect of procedure is unacceptable for the patient and the referring nephrologists. Hence a high success rate is mandatory. This experience from us will help for the doctors to improvise the skills. Our experience we preferred the standard left radiocephalic anastomosis (2/3rds of our patient). One on the right brachiocephalic was done due to failed previous Arteriovenous fistula surgery on the left wrist and forearm. And our anastamosis are mostly done end of the vein to side of the artery (83%). Our success rate is 83% which can be improved by preoperative Doppler study which will give the flow of the vessels and then the created fistula characters. Vascular access is a simple and convenient option for people on maintenance dialysis and can be done in our centre with a good success rate. The community of the patients with end stage renal disease can benefit since it is cost effective in our centre
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