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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
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Vascular access for hemodialysis: creation, functioning, and complications (Data of the Hospital of Kaunas University of Medicine)

Department of Nephrology, Kaunas University of Medicine, Lithuania
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Medicina 2010, 46(8), 550; https://doi.org/10.3390/medicina46080079
Received: 19 June 2010 / Accepted: 6 August 2010 / Published: 11 August 2010
Background. There are no data about arteriovenous fistulas (AVF) formation, survival, and complications rate in patients with end-stage renal failure in Lithuania.
Material and methods. We analyzed the data of patients (N=272) with end-stage renal failure, dialyzed at the Hospital of Kaunas University of Medicine from January 1, 2000, until March 30, 2010, and identified 368 cases of AVF creation. The patients were divided into two groups: group 1 included the patients with an AVF that functioned for <15 months (n=138) and group 2 included patients with an AVF that functioned for ≥15 months (n=171).
Results and conclusions. Less than half (47%) of the patients started planned hemodialysis and 51% of the patients started hemodialysis urgently. The mean time of AVF functioning was 15.43±8.67 months. Age, gender, the kidney disease, and time of AVF maturation had no influence on AVF functioning time. AVFs of the patients who started planned hemodialysis functioned longer as compared to AVFs of the patients who started hemodialysis urgently (P<0.05). Hospitalization time of the patients who started hemodialysis urgently was longer as compared that of the patients who had a matured AVF (37.63±20.55 days vs. 16.54±9.43 days). The first vascular access had better survival than repeated access. AVF survival in patients with ischemic brain vascular disease was worse than in patients without this comorbidity.
Keywords: chronic renal failure; vascular access; hemodialysis; vascular mapping; fistula maturation chronic renal failure; vascular access; hemodialysis; vascular mapping; fistula maturation
MDPI and ACS Style

Kybartienė, S.; Skarupskienė, I.; Žiginskienė, E.; Kuzminskis, V. Vascular access for hemodialysis: creation, functioning, and complications (Data of the Hospital of Kaunas University of Medicine). Medicina 2010, 46, 550.

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