AIM:

To estimate the prevalence of vascular access types in our maintenance chronic hemodialysis patients.

METHOD:

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.

RESULT:

Overall patients on hemodialysis are 177.

AGE DISTRIBUTION:

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%

 AVF DURATION:      

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.

CONCLUSION:

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