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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Adv+Biomed+Res
2017 ; 6
(ä): 106
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Comparison of Complications of Arteriovenous Fistula with Permanent Catheter in
Hemodialysis Patients: A Six-month Follow-up
#MMPMID28904934
Momeni A
; Mardani S
; Kabiri M
; Amiri M
Adv Biomed Res
2017[]; 6
(ä): 106
PMID28904934
show ga
BACKGROUND: Arteriovenous fistula (AVF), permanent catheter (PC), and vascular
graft are three vascular access types used for hemodialysis procedure. Due to
insufficient reliable information on the comparison between AVF and PC, this
study was conducted to compare AVF and PC regarding dialysis adequacy. MATERIALS
AND METHODS: This prospective study was carried out from March, 2013 to
September, 2013. In this study, 76 hemodialysis patients were enrolled and
assigned to two unequal groups of AVF and PC. Before and after the dialysis
session, blood samples were taken for laboratory examinations and measurement of
urea reduction ratio (URR) and Kt/V. The patients were followed up for six
months, and then laboratory examinations were repeated. RESULTS: Of the 76
hemodialysis patients, 30 had AVF and others PC. During the 6-month follow-up, 24
patients in PC group but only one patient in AVF group showed infection (P =
0.006), while in each group, three cases of thrombosis were seen (P = 0.58);
however, catheter dysfunction was seen in 13 patients of PC group but no patients
of AVF group (P = 0.004). There was no difference between the two groups in Kt/V
and URR at the beginning of the study; however, after six months, Kt/V and URR
were greater in AVF group (P < 0.05). CONCLUSIONS: In addition to some advantages
of AVF over PC, such as lower rate of infection and thrombosis, we also found
better dialysis adequacy in AVF group. We recommend that AVF be created in all of
patients with chronic kidney disease who are candidates for hemodialysis.
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