VASCULAR ACCESS COMPLICATIONS IN MAINTENANCE HEMODIALYSIS PATIENTS - A CROSS SECTIONAL STUDY FROM A SOUTH INDIAN TERTIARY CARE PUBLIC SECTOR TEACHING HOSPITAL

 

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VASCULAR ACCESS COMPLICATIONS IN MAINTENANCE HEMODIALYSIS PATIENTS - A CROSS SECTIONAL STUDY FROM A SOUTH INDIAN TERTIARY CARE PUBLIC SECTOR TEACHING HOSPITAL

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Saraswathi
Yashaswini
Saraswathi Yashaswini yashaswinibhatt17@gmail.com Gandhi hospital Nephrology Hyderabad India *
Manjusha Yadla manjuyadla@gmail.com Gandhi hospital Nephrology Hyderabad India -
Sreekanth B sreedoc2000@gmail.com Gandhi hospital Nephrology Hyderabad India -
Srinivas P swathivasu194@gmail.com Gandhi hospital Nephrology Hyderabad India -
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A functional vascular access (VA) serves as the lifeline for patients undergoing maintenance hemo dialysis (MHD). Among access modalities, arteriovenous fistulae (AVFs) have long been regarded as the gold standard due to their superior long-term patency and lower infection risk compared to central venous catheters. However, AVFs are not without any complications; maturation failure rates remain high—ranging between 20% and 60%—and patients are vulnerable to complications such as thrombosis, stenosis, aneurysm, and steal syndrome2

In resource-limited settings such as India, delays in AVF creation or limited surgical capacity often result in prolonged catheter dependence, raising the risk of access-related morbidity

This was a retrospective, cross-sectional, observational study in Department of Nephrology, Gandhi Medical College, Hyderabad, a tertiary care teaching hospital in South India. 

Study Period and Population

30-month period (January 2023 to June 2025) and 195 patients were included.


Inclusion criteria:

• Adults aged ≥18 years• On maintenance hemodialysis (MHD) for ≥3 months• Availability of complete vascular access and complication records

Exclusion criteria:

• Acute kidney injury (AKI) on dialysis• Incomplete or missing access-related data



Kewords