Prise en charge des complications des fistules artério-veineuses pour hémodialyse chronique

Jiber, Hamid; Zrihni, Youssef; Zaghloul, Rachid; Hajji, R.; Zizi, Othman; Bouarhroum, Abdellatif

doi:10.11604/pamj.2015.20.202.3617

Cited by 4 publications

(4 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Vascular access complications were similar to those described in the literature. 20 The frequencies of vascular access infections were 3.8 and 5.4 infections per 100 patients per year (respectively for PDM and WF), which was rather less than reported (8–17 per 100 patients per year), possibly related to the low use of central venous catheters. 21…”

Section: Discussionmentioning

confidence: 76%

Telenephrology and on-site nephrology: Comparable adequate dialysis care to patients living in remote Pacific Islands

Michel

Baroux²,

Frimat

et al. 2020

J Telemed Telecare

View full text Add to dashboard Cite

Introduction End-stage renal disease is a major public health concern in New Caledonia and in Wallis and Futuna (prevalence value: 2542 per million population in 2017). Spread over the territory, 594 dialysis patients are followed up by nephrologists and partially by telemedicine due to the distance. The aim of our this study was to evaluate the quality of care provided by telemedicine for chronic dialysis patients on Wallis Island, a dialysis unit remote from Noumea (2100 km). Methods We compared two populations of haemodialysis patients, one based in Poindimie in New Caledonia and followed by monthly physical consultation, the other based on Wallis Island and followed by monthly teleconsultation and quarterly on-site consultation. Results From January 2012–December 2017, dialysis adequacy and survival data were recorded for 84 patients: 44 in Poindimie, 40 on Wallis Island. Dialysis adequacy (i.e. clinical, biological parameters) as well as occurrence of vascular access complications were no different regardless of the means of follow-up. During the study, 23 deaths occurred (11 in Poindimie, 12 on Wallis Island; p = 0.464). We did not find any difference in survival at one and six years ( p = 0.46) between the two dialysis units. Evaluation for transplantation was lower for Wallisian patients ( p = 0.042), without impact on the number of patients being transplanted ( p = 0.678). Conclusion Telemedicine is a valuable opportunity for the follow-up of remote chronic haemodialysis patients, allowing them to be treated close to home while ensuring optimal quality of care

show abstract

Section: Discussionmentioning

confidence: 76%

Telenephrology and on-site nephrology: Comparable adequate dialysis care to patients living in remote Pacific Islands

Michel

Baroux²,

Frimat

et al. 2020

J Telemed Telecare

View full text Add to dashboard Cite

show abstract

“…Les premières ponctions de FAV influencent la survie de celle-ci, Nous n'avons pas retrouvé dans la littérature des études publiées portant sur les complications aigues des FAV lors de leurs premières ponctions. Nombreuses études [17,18], rapportent plutôt des complications à long terme dominées par les thromboses. Notre étude révèle que la moitié des premières ponctions se compliquent avec nécessité d'un ajournement de la séance d'hémodialyse.…”

Section: Discussion:-unclassified

Premieres Ponctions De Fistule Arterio-Veineuse Native Chez Les Hemodialyses Chroniques a Brazzaville

Sinomono¹,

Loumingou²,

Bouhity³

et al. 2020

IJAR

View full text Add to dashboard Cite

Introduction: The arteriovenous fistula (AVF) is the vascular approach of choice recommended in hemodialysis. The objective of our work is to assess the place of AVF in hemodialysis centers in Brazzaville, to determine the complications during the first AVF punctures and their risk factors. Patients and Method: We carried out a cross-sectional, descriptive study in two hemodialysis centers in Brazzaville. The study runs from January 15 to December 31, 2019. Prosthetic AVFs were excluded. The complications that occurred during the first AVF punctures were studied and analyzed with the Epi info software. Results: first AVF punctures were performed in 24 patients (57.14% of patients on chronic dialysis). In 17 patients (70.83%) it was a radioradial AVF and in seven patients (29.17%) a humero-cephalic AVF. The intensity of the puncture pain was 8/10 in nine patients (37.5%) and 7/10 in seven patients (29.17%). Eleven patients (45.83%) developed a complication that caused the hemodialysis session to be adjourned. The complications found are a large hematoma (25%), a hemorrhage in a jet with a pre-shock state (12.5%), a rupture of the AVF (4.17%), an arterial puncture with pulsatile hematoma (4.17 %). The risk factors for the complications found are the humerocephalic site (p <0.05), overweight (p <0.01), an AVF flow rate greater than 1000 ml / min (p <0.05). Conclusion: The use of AVF is still low in our dialysis centers. The first punctures are intensely painful; complications are frequent.

show abstract

“…Ceci implique le chirurgien, le néphrologue, les infirmiers et le patient lui-même, ainsi que la mise en place d´un programme de surveillance des FAV. Les techniques d´angioplastie endoluminale offrent les meilleures perspectives dans la gestion des complications [ 5 ]. Le problème de thromboses itératives de FAV posé par notre patiente, pourrait être prévenue par une surveillance régulière de la voie d´abord au cours des dialyses et par la pratique rapproché d’un doppler veineux afin de diagnostiquer à temps la thrombose et de traiter à temps la FAV.…”

Section: Discussionunclassified

Epuisement du capital vasculaire en hémodialyse: quelle issue?

Hajji¹,

Kâaroud²,

M³

et al. 2016

Pan Afr Med J

View full text Add to dashboard Cite

Malgré les progrès réalisés dans le traitement de l’insuffisance rénale chronique, l’accès vasculaire reste le maillon faible dans la thérapie de suppléance extrarénale et la principale source de morbidité chez les patients hémodialysés. Nous rapportons l’observation d’une jeune patiente ayant une insuffisance rénale chronique secondaire à une néphropathie vasculaire en hémodialyse périodique, confrontée précocement à un épuisement de son capital vasculaire, en raison de thromboses itératives des fistules artério-veineuses et l’échec de la dialyse péritonéale. Un déficit en protéine C a été objectivé. Elle a bénéficié de la mise en place d’un cathéter tunnelisé au niveau de l’oreillette droite par thoracotomie antéro-latérale droite à travers la veine cave inférieure non fonctionnel au bout de trois mois de son utilisation. Elle est depuis dialysée par ponction des veines jugulaires externes.

show abstract

Prise en charge des complications des fistules artério-veineuses pour hémodialyse chronique

Cited by 4 publications

References 14 publications

Telenephrology and on-site nephrology: Comparable adequate dialysis care to patients living in remote Pacific Islands

Telenephrology and on-site nephrology: Comparable adequate dialysis care to patients living in remote Pacific Islands

Premieres Ponctions De Fistule Arterio-Veineuse Native Chez Les Hemodialyses Chroniques a Brazzaville

Epuisement du capital vasculaire en hémodialyse: quelle issue?

Contact Info

Product

Resources

About