Fistules Artérioveineuses d’Hémodialyse à Alger: une Évaluation de 400 Procédures

Auteurs-es

  • K Ghebouli [1] Department of Cardiovascular Thoracic Surgery and Organ Transplantation CHU Mustapha Algiers, Algeria.
  • K Khecha [2] Department of cardiac surgery CHU Mustapha Algiers, Algeria.
  • F Haidouche [1] Department of Cardiovascular Thoracic Surgery and Organ Transplantation CHU Mustapha Algiers, Algeria.
  • N Mebarki [1] Department of Cardiovascular Thoracic Surgery and Organ Transplantation CHU Mustapha Algiers, Algeria.
  • S Bendjaballah [3] Department of general surgery A CHU Constantine, Algéria.

DOI :

https://doi.org/10.5281/hra.v2i1.5169

Mots-clés :

accès vasculaire, insuffisance rénale, fistule artério-veineuse. Alger

Résumé

RÉSUMÉ
Objective. Native arteriovenous fistula is the vascular access of choice for chronic hemodialysis due to its longevity, low complication rate and mortality compared to arteriovenous bypasses and catheters. The aim of our study is to report our surgical experience, to evaluate our results and show the main complications. Methods. We report our experience of 604 arteriovenous fistula created in 400 patients undergoing hemodialysis for chronic renal failure. The mean follow up period varied between one day to eight years. Results. We found 25% of primary thrombosis and 16% of secondary thrombosis. Moreover, there were two cases of local sepsis. Conclusion. We conclude that the Cimino-Brescia fistula is superior to any other type of vascular access in patients with renal failure.

ABSTRACT
Introduction. La fistule artério-veineuse native est l'accès vasculaire de choix pour l'hémodialyse chronique en raison de sa longévité, de son faible taux de complications et de mortalité par rapport aux pontages artério-veineux et aux cathéters. L'objectif de notre étude est de rapporter notre expérience chirurgicale, d'évaluer nos résultats et de présenter les principales complications. Méthodes. Nous rendons compte de notre expérience de 604 fistules artério-veineuses créées chez 400 patients en hémodialyse pour une insuffisance rénale chronique. La période moyenne de suivi variait d'un jour à huit ans. Résultats. Nous avons constaté 25 % de thromboses primaires et 16 % de thromboses secondaires. De plus, il y a eu deux cas de sepsis local. Conclusion. Nous concluons que la fistule de Cimino-Brescia est supérieure à tout autre type d'accès vasculaire chez les patients atteints d'insuffisance rénale.

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Publié-e

2023-12-23

Comment citer

K Ghebouli, K Khecha, F Haidouche, N Mebarki, & S Bendjaballah. (2023). Fistules Artérioveineuses d’Hémodialyse à Alger: une Évaluation de 400 Procédures. HEALTH RESEARCH IN AFRICA, 2(1). https://doi.org/10.5281/hra.v2i1.5169

Numéro

Vol. 2 No. 1 (2024): Health Research in Africa

Rubrique

Médecine et Chirurgie Tropicales

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