Assessment of Proximal Radio-median Cubital/Radio-Cephalic Arterio-venous Fistula
Jawed Akther
Department of General Surgery, Jawaharlal Nehru Medical College, Datta Meghe University of Medical Sciences, Wardha, Maharashtra, India.
Y. R. Lamture
Department of General Surgery, Jawaharlal Nehru Medical College, Datta Meghe University of Medical Sciences, Wardha, Maharashtra, India.
Varsha P. Gajbhiye
Department of Pharmacology, Datta Meghe Medical College Nagpur, Datta Meghe University of Medical Sciences, Wardha, Maharashtra, India.
Ranjit Ambad
Department of Biochemistry, Datta Meghe Medical College Nagpur, Datta Meghe University of Medical Sciences, Wardha, Maharashtra, India.
Aditya V. Ghunage
Datta Meghe University of Medical Sciences, Wardha, Maharashtra, India.
*Author to whom correspondence should be addressed.
Abstract
The present study aims to conducted the Assessment of Proximal radio-median cubital/radio-cephalic Arterio-venous Fistula. Arterio-venous Fistula is life line for long-term hemodialysis for end stage renal disease patients. The order of preference as per National Kidney Foundation/ Kidney Disease Out Come Quality Initiative (KDOQI) is distal Radio Cephalic fistula is considered as gold standard followed by elbow Brachio Cephalic Fistula, transposed Brachio-Basilic Fistula, forearm arterio-venous graft. This is a cross sectional-prospective interventional study, 05/2017 to 04/2019, JNMC, Wardha, MH, with sample size of 66 cases. Out of 66 cases 25 % patients had diabetes mellitus, 48% cases were suffering from chronic glomerulonephritis, 15 % cases were suffering hypertension, 6 % cases had COPD and another 6 % cases had some cardiovascular disease. About 54 % cases had previous access failure. In our study the mean flow volume for AV fistula in proximal forearm was 485± 291 ml/minon postoperative day1, 695 ± 298 on postoperative day 7 and 755± 347 ml/min. Overall postoperative complications in 12% cases was reported in our case study though Yilmiz et al reported postoperative complications in 15% cases.
Keywords: Arterio-venous fistula, chronic glomerulonephritis, brachio-basilic fistula, cardiovascular disease