Vascular access for hemodialysis: an experience report
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Citações na Scopus
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Tipo de produção
article
Data de publicação
2011
Título da Revista
ISSN da Revista
Título do Volume
Editora
DRUNPP-SARAJEVO
Autores
CENTOFANTI, Guilherme
FUJI, Eliane Y.
CAVALCANTE, Rafael N.
BORTOLINI, Edgar
ABREU, Luiz Carlos de
PIRES, Adilson C.
MACEDO JUNIOR, Hugo
YAMAZAKI, Yumiko R.
AUDI, Soraya G.
Citação
HEALTHMED, v.5, n.6, suppl.1, p.1959-1962, 2011
Resumo
Background: The evaluation of dialysis services is important for its adequacy and improvement in patient's quality of life. We evaluated the profile of vascular access used for hemodialysis patients in our Unit. Methods: We evaluated 164 patients of both genders aged over 18 years old who have undergone implant or manufacture of vascular hemodialysis access. We excluded patients on renal replacement therapy by peritoneal dialysis. Results: 155 patients had arteriovenous fistula, 149 were performed by the same dialysis and six were still maturing. 15 patients were using central venous catheter. Among the patients under hemodialysis for arteriovenous fistula, 143 were native and six were prepared using polytetrafluoroethylene prosthesis. Among the 15 patients with central venous catheters, ten used short-term catheter and five used long-term catheter. The average time of using was seven days. Patients on dialysis for long-term catheter and without maturing fistula had a mean time of 4.4 months of use and had exhausted their chances of making fistulas. The most frequent type of fistula was the distal radio cephalic in 82 patients, followed by proximal radio cephalic in 24 patients. Among the fistula for dialysis patients, the highest prevalence was radio cephalic fistula in 106 patients. Among the most frequent complications observed in fistulas, the pseudoaneurysm after puncture and venous hypertension were the most common. Conclusion: Our Unit of hemodialysis is above the limits established by international norms.
Palavras-chave
Renal Dialysis, General Surgery, Ambulatory Care, Ambulatory Care Facilities
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