Comparative Study Between Using Of Synthetic Arteriovenous Fistula And Fistula Between The Brachial Artery And Vein For Hemodialysis In Patients With Exhausted Superficial Veins
Abd-El-Rahman, M., El-fattah, H., soliman, A. (2644). Comparative Study Between Using Of Synthetic Arteriovenous Fistula And Fistula Between The Brachial Artery And Vein For Hemodialysis In Patients With Exhausted Superficial Veins. EKB Journal Management System, 2023(1), -. doi: 10.58675/2682-339X.2102
Mohamed Abd El-Hamid Abd Abd-El-Rahman; Hany Abd EL-Momen Abd El-fattah; Ahmed Attia Shaban soliman. "Comparative Study Between Using Of Synthetic Arteriovenous Fistula And Fistula Between The Brachial Artery And Vein For Hemodialysis In Patients With Exhausted Superficial Veins". EKB Journal Management System, 2023, 1, 2644, -. doi: 10.58675/2682-339X.2102
Abd-El-Rahman, M., El-fattah, H., soliman, A. (2644). 'Comparative Study Between Using Of Synthetic Arteriovenous Fistula And Fistula Between The Brachial Artery And Vein For Hemodialysis In Patients With Exhausted Superficial Veins', EKB Journal Management System, 2023(1), pp. -. doi: 10.58675/2682-339X.2102
Abd-El-Rahman, M., El-fattah, H., soliman, A. Comparative Study Between Using Of Synthetic Arteriovenous Fistula And Fistula Between The Brachial Artery And Vein For Hemodialysis In Patients With Exhausted Superficial Veins. EKB Journal Management System, 2644; 2023(1): -. doi: 10.58675/2682-339X.2102

Comparative Study Between Using Of Synthetic Arteriovenous Fistula And Fistula Between The Brachial Artery And Vein For Hemodialysis In Patients With Exhausted Superficial Veins

Al-Azhar International Medical Journal
Volume 2023, Issue 1, January 2023  XML
DOI: 10.58675/2682-339X.2102
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Authors
Mohamed Abd El-Hamid Abd Abd-El-Rahman; Hany Abd EL-Momen Abd El-fattah; Ahmed Attia Shaban soliman
Department of Vascular Surgery, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt.
Abstract
Background: The high morbidity, mortality, and economic burden associated with end-stage renal disease (ESRD) make Is a Serious Hazard to Public Health. Dialysis access, once established, must be carefully maintained. When it comes to providing care for patients with ESRD, vascular surgeons play a vital role in facilitating hemodialysis access. Aim and objectives: study comparing the outcomes of dialysis through a native brachial artery-brachial vein arterio-venous fistula vs a prosthetic brachio-axillary graft in cases with chronic renal failure and depleted upper extremity superficial venous accesses. Subjects and methods: Sixty individuals with ESRD took part in the study's prospective randomized trial. The vascular surgery portion of the study took place at Al-Azhar University's Al-Hussein and Sayed Galal Hospitals in Cairo. The duration of the study was between six months to a year. Result: The rate of problems is similarly low in both groups. When comparing the patency rates of the two groups, there is no discernible difference. After 12 months, disease-free survival was 66.7% in group A & 63.3% in group B, with a log rank test of 0.86. Conclusion: In cases with chronic renal failure and depleted upper extremity superficial venous connections, a brachial artery-brachial vein arterio-venous fistula used as a native access for dialysis is as successful as a brachio-axillary graft used as a prosthetic vascular access.
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