PECULIARITIES OF CREATING PERMANENT VASCULAR ACCESS IN DIABETIC PATIENTS ON PROGRAMMED HAEMODIALYSIS

Belokonev V.I., Eguin A.A., Proshin D.G., Zotkin I.V., Vladimirov A.S., Sukhorukova V.M., Kolesnik I.N.
Surgical Diseases Department №2, State Educational Facility of Higher Occupational Education Samara State Medical University, Haemodialysis Department Municipal Medical Facility N.I. Pirogov City Clinical Hospital №1,
Samara, Russia

Over the period from 2004 to 2009, we performed a total of 18 procedures aimed at forming a permanent vascular access in diabetic patients on programmed haemodialysis. Of these, an arteriovenous fistula (AVF) was created in eight patients and a polytetrafluoroethylene (PTFE) graft was implanted in ten subjects. We than carried out a comparative assessment of the permanent vascular accesses (PVA) prepared based on AVF versus those based on PTFE graft. The assessment criteria were as follows: time interval between the operative intervention and the commencement of the haemodialysis procedure via the PVA, the duration of the functioning and adequate amount of blood flow the PVA provides during the haemodialysis procedure, the presence of antebrachial ischaemia symptoms, as well as infectious complication rates.

KEY WORDS: permanent vascular access, arteriovenous fistula, polytetrafluoroethylene graft, forearm ischaemia, duration of the permanent vascular access functioning.

P. 143-145

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