BACKGROUND AND OBJECTIVES Failure to mature (primary failure) of new fistulas remains a major obstacle to increasing the proportion of dialysis patients with fistulas. This failure rate is higher in women than in men, higher in older than in younger patients, and higher in forearm than in upper arm fistulas. These disparities in the frequency of failure to mature may be due in part to marginal ...

Background and Objectives: There are different types of vascular access. We compared the patency rate for six months in ulnar-basilic fistula and Radio-Cephalic fistula for vascular access in hemodialysis patients.   Methods: The study was performed on 60 patients of 50.6±13.5 years of age with end-stage renal failure undergoing hemodialysis from 2012-2014 in Imam Ali hospital in Zahedan. Pat...

The outcome of patients with end-stage renal disease on hemodialysis depends on a functioning vascular access. Although a variety of access options are available, the arteriovenous fistula remains the best vascular access. Unfortunately the success rate of mature fistula use remains poor. The creation of an arteriovenous fistula is followed by altered hemodynamic and biological changes that may...

Little has been written about acute blood loss from hemodialysis vascular access. We describe a 57-year-old Caucasian male with an approximately 7 gm/dL drop in hemoglobin due to bleeding from a ruptured aneurysm in his right brachiocephalic arteriovenous fistula (AVF). There was no evidence of fistula infection. The patient was successfully managed by blood transfusions and insertion of a tunn...

Two patients, who were on hemodialysis over a femoral arteriovenous fistula, were transplanted in our center. Despite adequate blood pressure, perfusion of the renal allograft remained poor after completion of the vascular anastomoses. Ligation of the femoral arteriovenous fistula (1.6 L/min) led to adequate perfusion. Initial graft function was good. Although it remains unclear whether ischemi...

The arteriovenous fistula (AV fistula) is the preferred vascular access for haemodialysis. Recent clinical practice guidelines recommend the creation of vascular access (native fistula or synthetic graft) before the start of chronic haemodialysis therapy to prevent the need for complication-prone dialysis catheters. Late referral to a nephrologist is an important factor contributing to the high...

Dysfunction of the arteriovenous fistula for hemodialysis is a challenge nephrologist and vascular surgeon. Although experience limited, use forearm basilic vein as outflow radiocephalic has been considered. We report case 60-year-old male, with cardiovascular comorbidities history ischemic complications induced by access. Drainage problems were present in was used access repair. The procedure ...

a bstra ct   background: vascular access complications are a major cause of excessive morbidity and mortality in the dialysis population. moreover, there is not sufficient research regarding the factors correlated with vascular access complications among hemodialysis patients. this study aimed to evaluate the vascular access complications and their related factors such as nursing techniques and...