Journal «Angiology and Vascular Surgery» • 

2000 • VOLUME 6 • №1

THE CHARACTERISTICS OF VASCULAR ACCESS FORMATION IN ELDERLY PATIENTS TREATED BY PROGRAMMED HEMODIALYSIS

V.V. Savin, V.S. Shtandel
Department of Cardiovascular Surgery, Nephrology Department,
Military Veterans Hospital №2,
Moscow, Russia

Vascular access formation in elderly patients with terminal renal insufficiency receiving programmed hemodialysis is analyzed. From January 1996 to September 1998 in the Military Veterans Hospital No2 123 procedures were carried out in patients aged from 30 to 80 (mean 52), 32.6% of them were 60 and elder (40 patients). The rate of postoperative complications was significantly higher (34.6%) in elderly patients compared with the other age groups. The analysis of complication causes has shown that the main factors affecting the quality of vascular access and the rate of postoperative complications were preoperative condition of vascular bed, comorbidity, functional state of hemostasis, the mode of extracorporeal circuit induction. Anastomotic configuration, alternative formation of vascular access with the use of synthetic materials, drug prevention of thrombohemorrhagic complications are discussed.

KEY WORDS: vascular access, arteriovenous fistula, programmed hemodialysis.

P. 104

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