Comparative Study between Arteriovenous Fistula and Tunneled Hemodialysis Catheter in Dialysis Efficiency
Abdelfattah, M., Mohamed, E., Abd El Kader, A., Abbas, R., El Shorbgy, M. (2645). Comparative Study between Arteriovenous Fistula and Tunneled Hemodialysis Catheter in Dialysis Efficiency. EKB Journal Management System, 2024(10), -. doi: 10.58675/2682-339X.2702
Mahmoud Abdelfattah; Emad Mohamed; Ahmed Abd El Kader; Reda Abbas; Mohamed El Shorbgy. "Comparative Study between Arteriovenous Fistula and Tunneled Hemodialysis Catheter in Dialysis Efficiency". EKB Journal Management System, 2024, 10, 2645, -. doi: 10.58675/2682-339X.2702
Abdelfattah, M., Mohamed, E., Abd El Kader, A., Abbas, R., El Shorbgy, M. (2645). 'Comparative Study between Arteriovenous Fistula and Tunneled Hemodialysis Catheter in Dialysis Efficiency', EKB Journal Management System, 2024(10), pp. -. doi: 10.58675/2682-339X.2702
Abdelfattah, M., Mohamed, E., Abd El Kader, A., Abbas, R., El Shorbgy, M. Comparative Study between Arteriovenous Fistula and Tunneled Hemodialysis Catheter in Dialysis Efficiency. EKB Journal Management System, 2645; 2024(10): -. doi: 10.58675/2682-339X.2702

Comparative Study between Arteriovenous Fistula and Tunneled Hemodialysis Catheter in Dialysis Efficiency

Al-Azhar International Medical Journal
Volume 2024, Issue 10, October 2024  XML
DOI: 10.58675/2682-339X.2702
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Authors
Mahmoud Abdelfattah1; Emad Mohamed1; Ahmed Abd El Kader1; Reda Abbas2; Mohamed El Shorbgy3
1Internal Medicine, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt
2Vascular Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt
3Clinical Pathology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt
Abstract
Background: The efficiency of hemodialysis (HD) relies on the success and quality of the access of the vascularity, which could be an arteriovenous (AV) fistula, an AV graft, or a central venous catheter (CVC). Objectives: This work compared AV fistulas and tunneled HD catheters in dialysis efficiency. Methods: This observational analytical cross-sectional study was conducted on 100 subjects aged 21-60, both genders, with end-stage renal disease (ESRD) who had been on regular HD for more than six months. Subjects were divided into two groups equally: Group A: ESRD with an AV fistula group and Group B: ESRD with a tunneled HD catheter group. Results: Malfunction times, infection attacks, and hospitalization were significantly decreased in the AV fistula group compared to the tunneled HD catheter group (P <0.05). Urea clearance and urea reduction ratio were significantly greater in the AV fistula group compared to the tunneled HD catheter group (P<0.001). The blood flow rate was significantly greater in the AV fistula group compared to the tunneled HD catheter group (P <0.001). Pre-dialysis urea and post-dialysis urea were significantly decreased in the AV fistula group compared to the tunneled HD catheter group (P<0.05). Subjective global assessments (SGA score) and ultrafiltration rate were insignificantly varied among the two groups. Conclusion: Tunneled HD catheter implants for maintenance HD are correlated to an elevated risk of all-cause mortality contrasted to individuals with AV fistula. Patients with AV fistulas had reduced hospital stays, decreased mortality, and improved laboratory results compared to patients with tunneled HD catheters.
Keywords
Arteriovenous fistula; Tunneled Hemodialysis Catheter; dialysis; Subjective Global Assessments
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