Browsing by Author "Sila, Daniela"

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    Vaskulārās pieejas disfunkcijas, to ārstēšanas iespējas un iznākumi hemodialīzes pacientiem Paula Stradiņa klīniskās universitātes slimnīcā no 2018. gada līdz 2022. gadam
    (Rīga Stradiņš University, 2024) Sila, Daniela; Kuzema, Viktorija; Faculty of Residency; Rezidentūras studiju fakultāte
    Introduction Hemodialysis requires a permanent vascular access, typically achieved through an arteriovenous fistula (AVF) or an arteriovenous prosthesis (AVP). However, these access methods often encounter complications, such as stenosis, thrombosis, and aneurysms, which require medical intervention. Aim of the study To study the incidence of vascular access dysfunction in haemodialysis patients, to analyse the associated risk factors, and to evaluate the treatment methods used and their effectiveness at Pauls Stradins Clinical University Hospital from January 2018 to December 2022. Material and Methods This study analysed data on vascular access dysfunctions at Pauls Stradins University Hospital between 2018 and 2022, summarising 621 manipulations, 155 of which were related to vascular access dysfunctions. SPSS 26-2018, Microsoft Excel software was used for calculations. Results The study found that AVF dysfunctions were more common than AVP dysfunctions. Key risk factors for recurrent thrombosis were identified, including longer time on renal replacement therapy and elevated phosphorus levels in the blood. The analysis of treatment outcomes revealed that slightly more than half of the patients experienced successful treatment, with the restoration of vascular access function. Evaluating the survival of vascular access at three, six, and twelve months post-treatment revealed a high risk of recurrent dysfunction, with less than half of the cases avoiding repeated invasive interventions within a year. Surgical therapy was performed for all patients with AVF aneurysms, while stenosis and thrombosis were treated with both surgical and endovascular methods, often combining the two approaches. Conclusions The study highlights the need for regular monitoring of vascular access and the education of medical staff to reduce the risk of complications. To improve diagnosis and treatment, close collaboration among nephrologists, surgeons, and interventional radiologists is essential.