To estimate the prevalence of vascular access types in our maintenance chronic hemodialysis patients.
The study population included all patients undergoing hemodialysis treatment in Kauvery hospital, Alwarpet, Chennai. Patients age, gender, basic disease presence, ischemic heart disease were captured. The nature of vascular access – AVF, graft, perm catheter, femoral catheter, and temporary vascular access profile were studied.
Overall patients on hemodialysis are 177.
GENDER- Male:female = 117:60
BASIC RENAL DISEASE – Diabetic Nephropathy: Non Diabetic Renal disease – 95:82
IHD PREVALENCE – 61 out of 177 patients – 34.4%
Of 177 Patients on hemodialysis, HD through AVF 142 patients (80.2%), Graft 7 patients (3.95%), Perm catheter 5 patients (2.82%), IJV / Subclavian catheter 22 patients (12.4%) and femoral catheter 1 patient (0.56%).
Of 22 patients, on temporary catheter dialysis initiation was done < 1 month in 19 patients, whereas 3 patients was on temporary catheter, due to their AVF / Graft dysfunction present at the time of study.
AV fistula is the common vascular access in hemodialysis. Only a few patients are on long permanent access like graft and perm catheter.
Dr.R.Balasubramaniyam. MBBS, DNB(Gen.Med), DNB(Neph) Head, Department Of Nephrology Kauvery Hospital, Chennai
Ms. Visali Physician Assistant, Nephrology
