Dysfunctional AV Fistula in End-Stage Renal Disease Patients at Tertiary Care Hospitals of Lahore and Peshawar

Abstract

Objective: To determine the frequency of dysfunctional arteriovenous fistula utilizing Doppler ultrasound in End stage renal disease patients receiving maintenance hemodialysis.
Study Design: Cross-sectional study.
Place and Duration of Study: The study was conducted at the Dialysis Unit, Sir Ganga Ram Hospital Lahore, Pakistan, and Department of Nephrology, Lady Reading Hospital Peshawar, Pakistan, from July 2019 to January 2021.
Methods: One hundred and seventy-seven (177) people receiving continuous hemodialysis for end-stage renal disease, fulfilling selection criteria, were included in the study. Their medical record was assessed, the clinical examination findings and Doppler ultrasound findings of dysfunctional arteriovenous fistula were recorded
Results: In this study, 177 patients who had end-stage renal disease and were on maintenance hemodialysis, fulfilling selection criteria, were included. Among these patients, 124 (70.1%) were male and 53 (29.9%) were females. The patients' average age was 48±13.29 years. In our local population, the frequency of a dysfunctional arteriovenous fistula is 30.5% on physical examination and 44.6% on Doppler ultrasound among patients on thrice weekly maintenance hemodialysis.
Conclusion: We concluded that upon physical inspection, 30.5% of individuals receiving thrice-weekly maintenance hemodialysis had dysfunctional arteriovenous fistulas and 44.6% on Doppler ultrasound in our population. Arteriovenous fistula with normal physical examination findings may be dysfunctional on Doppler ultrasonography and Doppler ultrasonography further confirm the findings of physical examination.

How to cite this: Kifayat S, Muhammad N, Fawad M, Burki A, Khan MW, Khan MU. Dysfunctional AV Fistula in End-Stage Renal Disease Patients at Tertiary Care Hospitals of Lahore and Peshawar. Life and Science. 2025; 6(1): 51-57. doi: http://doi.org/10.37185/LnS.1.1.689