Assessment of arteriovenous fistula survival and related factors in hemodialysis patients with autologous vascular access complications

Nghiem Trung Dung, To Thi Loan, Chu Thi Ngoc Ha, Duong Manh Long

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Abstract

A cross-sectional study was conducted on 172 patients with autologous vascular access complications at Bach Mai Hospital and Hanoi Kidney Hospital to determine the functional life of autologous arteriovenous fisstula (AVF) and factors affecting this condition. The average functional life of patients was 48.02 ± 46.13 months (median value was 36 months). Thrombosis was the leading cause of vascular access dysfunction (accounting for 55.23%). Clinical parameters affecting the functional life of AVF included: history of diabetes, hypertension, age at AVF surgery, surgical site, dialysis facilities and history of AVF intervention (p < 0.05). Anemia (hemoglobin ≤ 80 g/L), thrombocytosis (≥ 245 G/L) and transferrin saturation deficiency were also associated with reduced functional life of autologous vascular access (p < 0.05).

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