Investigation of status for vascular access in hemodialysis patients at Xiangya Hospital of Central South University
10.11817/j.issn.1672-7347.2017.11.005
- VernacularTitle:中南大学湘雅医院血液透析患者血管通路现状
- Author:
Yong ZHONG
1
;
Jiaxi PU
;
Xiang AO
;
Weisheng PENG
;
Zhangzhe PENG
;
Xiaozhao LI
;
Xiangcheng XIAO
;
Qiaoling ZHOU
;
Ping XIAO
Author Information
1. 中南大学湘雅医院肾内科
- Keywords:
hemodialysis;
vascular access;
complication
- From:
Journal of Central South University(Medical Sciences)
2017;42(11):1270-1274
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the status of vascular access in hemodialysis patients in our center.Methods:The general information of hemodialysis patients and types and complications of vascular access at Xiangya Hospital of Central South University from April 2015 to April 2016,were retrospectively analyzed.Results:Among 258 prevalent patients,87.60％ of them had arteriovenous fistula (AVF),while 12.40％ showed tunneled cuffed catheter.Of the 61 incident patients,80.33％ of them initiated dialysis with a non-tunneled and non-cuffed catheter,8.19％ with an AVF,9.84％ with a tunneled cuffed catheter,and 1.64％ with needle puncture.The types of AVF access included 76.55％ of wrist radiocephalic fistula,7.08％ of mid-forearm cephalic fistula,11.06％ of elbow brachiocephalic fistula,and 5.31％ of antecubital fistula and transposed basilic fistula.Seventy-seven (34.07％) patients with AVF suffered complications and wherein aneurysms accounted for 24.34％.Conclusion:In maintenance hemodialysis patients,autologous AVF is the prevalent vascular access.In the beginners for dialysis,non-tunneled and non-cuffed catheter are their choice.Additional efforts and incentives may be necessary to improve vascular access during the initiation ofhemodialysis.
