Complications in hemodialysis patients with autologous vascular access in the upper limbs
Abstract
Introduction: with the use of autologous endogenous vascular accesses in the upper limbs as a route for hemodialysis, it has been possible to prolong life and produce benefits in the patient. However, local and systemic complications occur.
Objective: to characterize the complications associated with autologous vascular accesses of the upper limbs in hemodialysis patients.
Methods: a descriptive observational study was carried out at the General Provincial Teaching Hospital "Dr. Antonio Luaces Iraola" from Ciego de Ávila in the period from June 2015 to June 2016. It worked with all 45 patients who met the inclusion criteria. Data was collected from medical records. The Cimino and Brescia classification was used to classify complications. Ethical principles were met.
Results: the highest incidence of complications was registered in the age group of 40 to 49 years (28,89 %) and the male sex (57,78 %). Nephroangiosclerosis (20,00 %) and polycystic kidney disease (20,00 %) predominated as causes of chronic renal failure, and thrombosis as a late complication in radiocephalic patients (46,67 %). Of the patients, 33,30 % had no complications.
Conclusions: complications predominated in male adults with secondary chronic kidney failure to nephroangiosclerosis and polycystic kidney disease. Almost a third had secondary complications; within the immediate period, local infection prevailed in men and in the late, thrombosis in women. The radiocephalic was the location that was immediately complicatedDownloads
Published
How to Cite
Issue
Section
License
Those authors who have publications with this journal accept the following terms of the License CC Attribution-NonCommercial 4.0 International (CC BY-NC 4.0):
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes .
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
