head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2023, vol. 29, issue4
Subject Area: Medicine
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DOI: 10.5272/jimab.2023294.5272
Published online: 12 December 2023

Original article
J of IMAB. 2023 Oct-Dec;29(4):5272-5275
ARTERIO-VENOUS FISTULA CREATION FOR HEMODIALYSIS. WHAT IS HAPPENING IN BULGARIA?
Biser K. Borisov1ORCID logoCorresponding Autoremail, Dimitar B. Borisov2ORCID logo,
1) Department of Nephrology and Dialysis, Medical University, Pleven, Bulgaria.
2) Departement of Vascular Surgery, Medical University, Sofia, Bulgaria.

ABSTRACT:
Purpose. The arterio-venous anastomosis (AVA) continues to be the "gold standard" for vascular access in patients undergoing haemodialysis. This retrospective study aims to analyze the causes that led to End Stage Renal Disease (ESRD), the type of native AVA, their localization, and their patency.
Material and Methods. The study included the last 100 consecutive and random AVAs constructed in our clinic. 68 men of average age 62.3 (+/-10.8) years and 32 women of average age 59.9 (+/-15.8) years were operated. The main causes that led to ESRD were: Glomerulonephritis - 33%, Hypertension- 24% and Diabetes- 20%. The overweight patients were 33% and the smokers - 30%.
Results. AVA has been successfully constructed in 82% of the patients on the left hand and in 18% on the right hand. A distal latero-terminal radio-cephalic fistula (DLTRC) was constructed on only 8% of the patients. The most common type of anastomosis was an L.T. radio-cephalic in the forearm - 58%, followed by an L.T. brachio-cephalic fistula - 19% and latero-lateral, radio-cephalic in the forearm - 14% of the patients. The early fistula patency was - 80%, one-year cumulative patency was 94%.
Conclusion. The analysis of our results shows that the relative share of the overweight and diabetes population is increasing today. In practice, solutions for the construction of primary forearm anastomosis are increasingly common.

Keywords: hemodialysis, vascular access, arterio-venous anastomosis, fistula patency,

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Please cite this article as: Borisov BK, Borisov DB. Arterio-Venous Fistula Creation for Hemodialysis. What is happening in Bulgaria? J of IMAB. 2023 Oct-Dec;29(4):5272-5275. [Crossref - 10.5272/jimab.2023294.5272]

Corresponding AutorCorrespondence to: Biser Borisov, MD, PhD, Department of Nephrology and Dialysis, Faculty of Medicine, Medical University, Pleven; 8A, George Kochev str., 5800 Pleven, Bulgaria; E-mail: biserugo@abv.bg

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Received: 27 May 2023
Published online: 12 December 2023

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