Behavior of arteriovenous fistulas for hemodialysis in elderly patients

Revista Cubana de Cirugía

Instituto de Nefrología Abelardo Buch López, La Habana, Cuba¹  Orret Cruz, David¹  Gutiérrez García, Francisco¹  Molina Alfonso, Saul¹ 

关键词: arteriovenous fistula;    vascular access;    hemodialysis.;   

DOI  :  

学科分类：外科医学

来源: SciELO

【 摘 要 】

Introduction: In the last few years, the number of old patients in the hemodialysis service has increased. This fact along with this growing number of diabetic patients that show damaged vascular bed has brought about more difficulties in creating a vascular access in their risk population.Objective: To observe the behavior of arteriovenous fistulae in patients aged 65 years or more subjected to hemodialysis.Methods: Prospective, descriptive and observational study conducted in 65 years old and over whom an arteriovenous fistula was created from March 2011 to March 2013 at the hemodialysis service of the Institute of Nephrology in Havana. The study group was made up of 58 patients.Results: The male sex predominated (55.2%). The most observed underlying diseases were diabetes mellitus (43.1%) and hypertension (37.9%). The most found complications were insufficient flow (15.2%) and thrombosis (12.1%). The highest survival rate was seen in arteriovenous fistulae in men (78%); non-diabetic patients (73%) and radiocephalic location (73%). The global primary survival rate after one year of the arteriovenous fistulae in our patients was 69%.Conclusions: The autologous arteriovenous fistulae may be performed as a first option in patients aged 65 years or more, and adequate survival rates, comparable to those of other groups of patients, were reached.

【 授权许可】

Unknown