A survey of selected vascular access complications in maintenance hemodialysis patients at Viet Duc University Hospital

Dao Thi Thuy Duong, Nguyen The Cuong

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Abstract

A cross-sectional, descriptive with retrospective analysis study was conducted to investigate vascular access complications among 160 outpatients receiving maintenance hemodialysis at the Department of Kidney diseases and Dialysis, Viet Duc University Hospital from March to September of 2023. The mean age of the study population was 51.2 ± 15.5 years old, and males accounted for 53.8% and mean hemodialysis vintage was 84.1 ± 75.8 months. Arteriovenous fistula (AVF) was the predominant type of vascular access (90.6%). Aneurysm/pseudoaneurysm was the most common vascular access complication, occurring in 24.4% of patients. Thrombosis was the second popular complication observed in 19.4% cases. Other less common complications including infection (13.1%), stenosis (5%), and steal syndrome (6.9%). Vascular access complications occured more frequently in patients using arteriovenous grafts (AVG) and cuff catheter. A statistically significant association was found between aneurysm/pseudoaneurysm of vascular access complication and hemodialysis period greater than 5 years (p < 0.01).

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References

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