Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452

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IMPLEMENTATION OF VASCULAR ACCESS FOR HEMODIALYSIS IN PATIENT WITH TERMINAL CHRONIC RENAL FAILURE WITH DIABETES MELLITUS TYPE II

Grigoriev E.N. 1 Fadeev S.B. 1, 2 Tarasenko V.S. 1
1 Orenburg State Medical Academy
2 Institute of Cellular and Intracellular Symbiosis UD of the RAS
Objective: To investigate the possibility of the native permanent vascular access formation at the upper extremity for patients with terminal chronic renal insufficiency, diabetes mellitus type II. Materials and methods. The study included 108 patients with diabetes mellitus type II with terminal chronic renal failure. 130 operations on the formation of arteriovenous fistulas in the lower, middle third of the forearm or cubital fossa was performed. The frequency of restenosis, thrombosis of native permanent vascular access and reoperations for three years were recorded. Results. In the formation of the native permanent vascular access in the lower third of the forearm in 86 patients with early complications occurred in 17.4% of cases (thrombosis, low blood flow), late - in 7% of cases (stenosis, fistula vein thrombosis). Upon application of an arteriovenous fistula in the middle third of the forearm between the v. cephalica and a. radialis (12 patients), 1 patient (8.3%) after 1.5 years developed arterial thrombosis. Formation of vascular access in the cubital fossa (10 patients) not caused complications. The overall incidence of complications was 20.4%. After reoperation arteriovenous fistula remains functional viability. Conclusions. The formation of the native arteriovenous fistula in the upper extremity for programs hemodialysis patients with terminal chronic renal insufficiency, diabetes mellitus type II was possible. Complications successfully corrected by reoperations, and arteriovenous fistula remains functional viability.