Comparative study between brachiocephalic fistula and proximal radiocephalic fistula for hemodialysis in patients with end-stage renal disease

Eldesouky, Mahmoud S; Fayed, Asem

doi:10.4103/ejs.ejs_92_18

Cited by 4 publications

(2 citation statements)

References 2 publications

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“…[ 27 ] It was lower than 8.3% incidence reported by Eldesouky et al . [ 28 ] Higher incidence of pseudo aneurysm may be due to infection in our environment and inadequate sterilization.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of distal radiocephalic fistula vs proximal radiocephalic fistula

Mishra¹

2021

Journal of Family Medicine and Primary Care

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Background: Distal radiocephalic fistula (DRCF) at wrist is the first option of vascular access in patients undergoing hemodialysis. In patients with a failed DRCF or unsuitable for DRCF the current recommendation is to perform a brachiocephalic fistula. Proximal forearm radiocephalic fistulas (PRCF) are created less frequently. The aim of the present study was to evaluate the outcomes of PRCF and DRCF. Material and Methods: A longitudinal study was conducted in the department of MKCG Medical College from January 2018 to July 2019. Data was collected and entered in Microsoft excel. The analysis was done by R version 3.6.1. Quantitative data were presented in the form of Mean and SD and were tested by unpaired t -test. Categorical data were presented as count and proportion and was tested by Chi-square test or if applicable Fischer's exact test. Comparison between two procedures was done by Kaplan-Meier method and evaluated by the log-rank test. With the 95% of Level of significance, P value <0.05 was consider statistically significant during analysis. Results: The demographic data of the two patient groups were similar except that those with PRCF were more likely to have had a previous access and caliber of distal vessel was less. Early failure was lower for PRCF than DRCF (6.06% vs 15%). Primary patency rate at one year was 87.87% in PRCF vs 70% in DRCF. Conclusion: A PRCF can be a suitable alternative to a brachiocephalic fistula in patients who cannot receive a DRCF.

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“…[ 27 ] It was lower than 8.3% incidence reported by Eldesouky et al . [ 28 ] Higher incidence of pseudo aneurysm may be due to infection in our environment and inadequate sterilization.…”

Section: Discussionmentioning

confidence: 99%

“…[ 33 ] and Eldesouky et al . [ 28 ] has favored proximal radiocephalic fistula over brachiocephalic fistula. Although higher caliber of brachial artery has resulted in higher flow rate at 6 week, it is associated with more complications of arm swelling, steal syndrome, pseudo aneurysm.…”

Section: Discussionmentioning

confidence: 99%

Comparison of distal radiocephalic fistula vs proximal radiocephalic fistula

Mishra¹

2021

Journal of Family Medicine and Primary Care

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Evaluation of knowledge and attitude of physicians, nurses, and patients regarding the importance of protection of vascular access in patients undergoing hemodialysis and its prognostic role

Malekshahi,

Razi,

Abdullahi

2024

Medical Reports

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Incidence of Anastomotic Pseudoaneurysm of Arteriovenous Fistula in Hemodialysis Patients Having Non-Cuffed Catheters as Vascular Access – Association or Causation?

Vyahalkar

Binnani

Kulkarni

et al. 2022

Indian Journal of Vascular and Endovascular Surgery

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Background: Anastomotic pseudoaneurysm affecting arteriovenous fistula created for hemodialysis is an unusual and catastrophic complication. There is lack of clinical data in literature about its incidence and management. Aims and Objectives: To study the incidence and understand the aetiology of anastomotic pseudoaneurysm of arteriovenous fistula (PA-AVF) occurring in first six months after surgery. Materials and Methods: Cohort study based on retrospective analysis of three-year data of case-series of PA-AVF occurring in first six months after AV fistula creation for hemodialysis. Results: Among the 283 AV fistula surgeries (215 distal forearm radio-cephalic AVF and 68 brachial artery or cubital region AVF), 7 patients (2.4%) developed PA-AVF within 1 to 8 weeks after AV fistula surgery. Over-extended dependence on non-cuffed hemodialysis (HD) catheter was a common factor among patients developing this complication. All the patients had a prolonged stay (34 to 75 days) of non-cuffed HD catheters before development of PA-AVF. Diagnosis of HD catheter-related blood stream infection (HD-CRBSI), which overlapped with development of PA-AVF, was proven in 4 patients, two of which also had surgical site infection. One patient had traumatic PA-AVF and in two patients the cause could not be established although features consistent with CRBSI were present. Excision of pseudoaneurysm and ligation of radial artery was done in all cases. Conclusion: Infection is the most common cause of anastomotic pseudoaneurysm of AV fistula. Our study points towards extended use of non-cuffed hemodialysis catehters as a risk factor for development of PA-AVF. Prevention and early aggressive management of CRBSI and surgical site infections along with a limited use of non-cuffed HD catheters for the minimum required duration is the key to reduce the incidence of this complication

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Comparative study between brachiocephalic fistula and proximal radiocephalic fistula for hemodialysis in patients with end-stage renal disease

Cited by 4 publications

References 2 publications

Comparison of distal radiocephalic fistula vs proximal radiocephalic fistula

Comparison of distal radiocephalic fistula vs proximal radiocephalic fistula

Evaluation of knowledge and attitude of physicians, nurses, and patients regarding the importance of protection of vascular access in patients undergoing hemodialysis and its prognostic role

Incidence of Anastomotic Pseudoaneurysm of Arteriovenous Fistula in Hemodialysis Patients Having Non-Cuffed Catheters as Vascular Access – Association or Causation?

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