Home About us Current issue Ahead of Print Back issues Submission Instructions Advertise Contact Login   

Search Article 
Advanced search 
Saudi Journal of Kidney Diseases and Transplantation
Users online: 5010 Home Bookmark this page Print this page Email this page Small font sizeDefault font size Increase font size 

Year : 2019  |  Volume : 30  |  Issue : 1  |  Page : 166-174
Vascular access types in hemodialysis patients in palestine and factors affecting their distribution: A cross-sectional study

1 Department of Nephrology, An-Najah National University Hospital, An-Najah National University, Nablus, Palestine
2 Department of Internal Medicine, Nablus Specialty Hospital, Nablus, Palestine
3 Department of Internal Medicine, An-Najah National University Hospital, An-Najah National University, Nablus, Palestine
4 Department of Public Health, College of Health Sciences, Doha, Qatar
5 Department of Internal Medicine, Kent Hospital, Brown University, Rhode Island, USA

Correspondence Address:
Faeq Kukhon
Department of Internal Medicine, Kent Hospital, Brown University, Rhode Island
Login to access the Email id

DOI: 10.4103/1319-2442.252907

PMID: 30804278

Rights and Permissions

The incidence of end-stage renal disease (ESRD) patients is increasing considerably worldwide, and most of the patients start their therapy by hemodialysis (HD). Arteriovenous fistula (AVF) is the best type of vascular access due to its decreased rate of complications followed by arteriovenous graft (AVG) and finally, central venous catheters which are associated with increased mortality and morbidity. In this study, we aim to find out the proportion of each vascular access type used in HD patients and to evaluate the epidemiology of HD access in Palestine. Six hundred and fifty-eight patients were enrolled in this study from 10 dialysis units distributed in Palestine. The patients were divided into incident patients or prevalent patients. Data were collected by the researchers by regular visits to the units. AVFs were the most common access type (69.3%), catheters came second (27.8%) finally, AVGs (2.9%). Temporary catheters composed 59% of all catheters, followed by the permanent catheters. The subclavian vein was the most common insertion site (68.3%), internal jugular vein (26.8%), and femoral vein (4.9%). Temporary catheters were most commonly used among incident patients (41.5%) and AVFs were the most common in the prevalent patients (75%). There was no statistically significant association between the type of dialysis access use with gender, body mass index, or diabetic status. We recommend close follow-up and early AVF creation when the patients are expected to need HD. We also highly recommend decreasing the duration of temporary catheters. Finally, further prospective studies to follow-up and evaluate the progression in the vascular access status in Palestine are needed.

Print this article  Email this article

  Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
   Citation Manager
  Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded264    
    Comments [Add]    
    Cited by others 1    

Recommend this journal