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Saudi Journal of Kidney Diseases and Transplantation
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Year : 2015  |  Volume : 26  |  Issue : 6  |  Page : 1210-1214
Outcome of upper limb vascular access for hemodialysis

1 Department of General Surgery, The University of Jordan, Amman, Jordan
2 Department of Internal Medicine, The University of Jordan, Amman, Jordan
3 Department of Anesthesia, The University of Jordan, Amman, Jordan

Correspondence Address:
Moaath Alsmady
Department of Surgery, Division of Cardiovascular Surgery, Faculty of Medicine, Jordan University Hospital, P. O. Box 2086 Aljubiha, Post Code 11941, University of Jordan, Amman
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-2442.168626

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The aim of this study was to investigate the outcome of vascular access procedures for hemodialysis and factors affecting access survival and complication rates. A retrospective review was carried out on 276 patients who underwent 404 consecutive vascular access operations performed over seven-years. The overall primary failure rate was 9.2%, while the oneand five-year cumulative access patency rates were 63.8% and 40.6%, respectively. Diabetes mellitus status significantly influenced access survival (P = 0.022). Autogenous arteriovenous fistulas (AVFs) are reliable procedures with access sites often available in the upper limb proximally and distally. Patients with diabetes mellitus have significantly worse patency rates of upper limb AVFs.

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