TYPES OF VASCULAR ACCESS FOR PATIENTS OF CHRONIC KIDNEY DISEASE LEADING HAEMODIALYSIS

Objectives: To find out the percentage of chronic kidney disease patients requiring haemodialysis in IITH and patency of AV fistulas in those patients requiring Haemodialysis. Methodology: A cross sectional study was carried out at IITH and Sialkot Kidney Centre between June 2024 and August 2024, after approval from IRB. Result: The main findings of the data include most common mode of initiation of haemodialysis as temporary catheter and permanent route vascular access as AV Fistula. Conclusion: The data collected by our research team concludes that the most used primary route of vascular access in patients requiring haemodialysis is a primary double lumen dialysis catheter (82%). The second most used route was an AV fistula (16%) and AV graft is least used temporary VA (2%).Permanent vascular access is most commonly achieved through an arteriovenous Fistula (84.63%) followed by a permanent catheter(9.4%). The Graft is used to lesser extent (3.64%) as a mode of PVA.Vascular access had to be reconstructed in 80% of the patients with AV Graft as permanent vascular access.