VASCULAR ACCESS ACTIVITY IN DIALYSIS CENTER UMC LJUBLJANA

Objectives: To present vascular access activity in the Dialysis center of the University Medical center Ljubljana (UMCL). Methods: Data on hemodialysis catheters insertions, arteriovenous fistula (AVF) and graft constructions and revisions and Doppler ultrasonography examinations was evaluated from...

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Published in:International journal of artificial organs 2011-08, Vol.34 (8), p.676-676
Main Authors: Ponikvar, J, Malovrh, M, Kovac, J, Premru, V, Gubansek, J, Kersnic, B, Knap, B, Marn-Pernat, A, Buturovic-Ponikvar, J
Format: Article
Language:English
Subjects:
Anesthesia
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Summary:Objectives: To present vascular access activity in the Dialysis center of the University Medical center Ljubljana (UMCL). Methods: Data on hemodialysis catheters insertions, arteriovenous fistula (AVF) and graft constructions and revisions and Doppler ultrasonography examinations was evaluated from in-center medical archive. Results: Nephrologists in Dialysis center have constructed AV shunts from 1974-1982, AVF and grafts from 1974, inserted hemodialysis catheters from 1976, and performed Doppler-ultrasonography related to AVF (preoperative mapping, Doppler of dysfuntional or thrombosed AVF and grafts) from 1992. Nephrologists also perform reconstruction and surgical salvage of the suddenly thrombosed AVF and graft. Pediatric AVF were also created. Surgeries are performed in the operative theatre at the Dialysis Center, mostly under local anesthesia, as outpatient procedure. In a few patients (mainly pediatric) AVF was created under general anesthesia. A total of 6,172 AVF/graft surgeries (creations/salvage procedures) and 21,740 of hemodialysis catheter insertion were performed by nephrologists in Dialysis Center UMCL from 1974 until the end of April 2011. In 2009, 1, 187 catheters were inserted, 267 AVF/grafts surgeries and more than 400 Doppler examinations were performed. The reason for the great number of catheters was in using 2 single lumen catheters instead of 1 double lumen catheter and providing the vascular access in the patients in intensive plasmapheresis (acute and chronic) and ICU (acute) therapy. Conclusions: From 1974 to April 2011 nephrologists performed 6,172 vascular access surgeries, mainly AV fistulas and grafts (re)constructlons and inserted 21,740 HD catheters, with approximate yearly vascular access activity of 250 surgeries, 800 hemodialysis catheters insertions and 400 Doppler examinations.
ISSN:0391-3988