BACKGROUND The use of arteriovenous fistula over a central venous catheter in hemodialysis patients is recommended whenever possible. It has become the gold standard among all the available permanent vascular accesses for hemodialysis as it is associated with less complications. The aim of our study was to analyze the type of vascular access in hemodialysis patients in our country, FYR of Maced...

INTRODUCTION AND PURPOSE The increasing number of patients undergoing hemodialysis and the limited number of access sites have resulted in an increasing number of techniques to maintain vascular access for hemodialysis. Thrombosed arteriovenous (AV) fistulas with large venous aneurysms have poor treatment results, with both endovascular and surgical techniques, leading to a high rate of definit...

Vascular access in hemodialysis patients is crucial. Vascular access monitoring to ensure access patency is important for patient survival, quality of life, and blood vessel care. The ultrasound dilution method for measuring access flow is a screening tool to assess access dysfunction. Park et al. [1] performed a single-center prospective study of the variation in access flow during hemodialysi...

Klebsiella pneumoniae bacteremia associated with a Tesio hemodialysis catheter To the Editor: Catheter-associated bacteremia is a serious complication of temporary hemodialysis vascular access. Bacteremia is the second leading cause of death in hemodialysis patients. Infectious episodes are also the leading cause for untimely catheter removal and for morbidity in dialysis patients. In a study o...

More than 375,000 patients undergo long-term hemodialysis treatment in the United States, but the outcomes have remained abysmal, with the rate of death during the first year of hemodialysis therapy exceeding 20%. Although the development half a century ago of techniques for sustainable vascular access rendered long-term extracorporeal treatment feasible, vascular access remains the Achilles’ h...

Vascular access thrombosis is one of the major causes of morbidity in patients maintained on chronic hemodialysis. Thrombophilia has been recognized as a risk factor of vascular access thrombosis. The authors report a case of inherited protein S deficiency associated with vascular access thrombotic events. DNA sequence analysis of the PROS1 gene identified a novel heterozygous nonsense mutation...

equitable distribution of health system resources has been a serious challenge for long ago among the health policy makers. conducted studies have mostly ever had emphasis on equality rather than equity. in this paper we have attempted to examine both equality and equity in resources distribution.this is an applied and descriptive study in which we plotted lorenz and concentration curves to des...

Patients with Chronic kidney Disease (CKD) are fragile. Hemodialysis, the most useful Renal Replacement Therapy in the world is the only treatment available in Madagascar. It is an invasive act exposing several complications. This study aims to assess the prevalence of the bacterial complication in hemodialysis. We conducted a retrospective, exhaustive, descriptive single centre study. Record b...

UNLABELLED Infectious complications associated with vascular access are a well known cause of increased morbidity and mortality in hemodialysis patients. The aim of the study was to evaluate the incidence of hemodialysis vascular access infections and patients survival in the group of maintenance hemodialysis patients during a one year observation period. The study group consisted of 213 patien...

The association between hemodialysis vascular access type, costs, and outcome of Staphylococcus aureus bacteremia (SAB) among patients with ESRD remains incompletely characterized. This study was undertaken to compare resource utilization, costs, and clinical outcomes among SAB-infected patients with ESRD by hemodialysis access type. Adjusted comparisons of costs and outcomes were based on mult...