Abdul-Fatah Y. Zaied*, Magdi A. Sassi**, Khaled M. Khattab**, Zayed S. A.Rahman**
*Department of Medicine, Faculty of Medicine, Garyonis University
**Department of Medicine, 7th October Hospital, Benghazi, Libya
JMJ Vol. 2, No. 3 (March 2003): 27-30
One hundred sixty adult patients, with end stage renal disease (ESRD), on maintenance haemodialysis (H.D) programme, in Benghazi hospital renal units, were studied regarding their autogenously Arteriovennous fistula (AVF) function and complication. In 18 patients (11%), AVF had stopped functioning within the first week of its surgical creation. One hundred ten patients (69%) had suffered multiple AVF complication: thrombosis (54%), limb pain and parasthesia (44%), AVF aneurismal dilatation (30%), skin colour changes in the fingers (25%), oedema of the hand (15%) at the AVF limb side. Rare complication in (4%), including dry gangrene of the finger tips, spontaneous AVF aneurysmal rupture , infection at AVF site and signs of high output cardiac failure. Fifty patients (31%) had no complication 27 of them (54%) had no history of previous subclavian vein catheterisation (SCVC). In 6 of them the AVF is still functioning for 11-14 years after its first surgical creation.
Keywords: Arteriovennous fistula, complication, ESRD, haemodialysis