Introduction:
Chronic kidney disease (CKD) is frequent in Burundi, and so are cases of arteriovenous fistulas. Noting that understanding of this phenomenon is scant, we aimed to determine its prevalence and examine factors leading to complications.
Methods:
We retrieved data from 106 patients who were enrolled into hemodialysis treatment over a period of three years from 2018 to 2021 in two major hospitals in Bujumbura: collecting clinical information, therapeutic data, and complications. We performed descriptive statistics and used a logic regression to examine factors leading to complications.
Results:
Our sample was an older and predominantly male population with mean age of 50.48± 14 years and a male/female sex ratio of 3.6. Native arteriovenous fistula (AVF) was performed in 29.44% (31/106) them. Hypertension (83%) and diabetes (67%) were the main cause of CKD, and these diseases were associated in 57.54% of patients. Over half of patients (57.4%) underwent radio cephalic AVF anastomosis. Half of patients (50.9%) developed a complication, mostly thrombosis
(38.89 %). Patients who had diabetes were twice more likely to develop a complication. Hypertension and AVF site predicted the likelihood of a complication in the proportions of 1.5 and 2.3. Although none of the patients died in the aftermaths of AVFs and their complications, 40.82% of these patients underwent a second reparative surgery.
Conclusions:
Our study proved the role of co-morbidities in AVF complications following a surgery. Nonetheless, we found that most patients undergo a second surgery although death appears to be rare.
I have no potential conflict of interest to disclose.
I did not use generative AI and AI-assisted technologies in the writing process.