Journal of Clinical & Experimental Nephrology

Prevalence of Vascular Access in Hemodialysis Population in Senegal: A Multicenter Cross-Sectional Study

Introduction: A good vascular access is essential to provide chronic maintenance hemodialysis. The purpose of this study was to make an inventory of the vascular access in the prevalent hemodialysis patients of Senegal.

Material and methods: We report a cross-sectional multicenter study from June 1^st to June 30^th, 2018 conducted in all public and private hemodialysis units in Senegal. We included all patients with chronic Stage V kidney disease who had been on hemodialysis for at least 3 months.

Results: Four Hundred and Twelve (412) patients were included. The average age was 47.76 years (11-85 years). The first hemodialysis session was performed using a central venous catheter in 378 patients (91.75%). Two hundred and eighty-six patients (69.40%) had an Arteriovenous Fistula (AVF) as a current vascular access. Radiocephalic AVF was the most commonly used in 165 patients followed by brachiocephalic in 78 patients. Central Venous Catheter (CVC) was used in 126 patients (30.60%), 79 patients dialyzed with a tunneled catheter and 47 patients with a temporary CVC (26 jugular and 21 femoral catheters). Complications were found in 73 patients with AVF (21.3%) including 38 cases of thrombosis and 22 aneurysms. Only 3.97% of patients with CVC presented with an infectious complication.

Conclusion: A central venous catheter remains the initial vascular access for hemodialysis in Senegal due to late referral of End Stage Renal Disease (ESRD) patients. The challenges to initiate ESRD patients with an AVF include providing adequate education to all members of the Chronic Kidney Disease (CKD) team, early referral to nephrologists and surgeons.

Author(s): Yaya Kane

Abstract | Full-Text | PDF

Share this