Article:
Study of Arteriovenous Fistula Cases in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

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creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorKarmacharya, Robin Man
dc.contributor.authorVaidya, Satish
dc.contributor.authorSingh, Amit Kumar
dc.contributor.authorDahal, Sushil
dc.contributor.authorDhakal, Prasesh
dc.contributor.authorBhandari, Niroj
dc.contributor.authorBade, Sohail
dc.contributor.authorShrestha, Prabha
dc.contributor.authorThapa, Pratima
dc.date.accessioned2026-08-12T05:24:29Z
dc.date.available2026-08-12T05:24:29Z
dc.date.issued2020
dc.descriptionRobin Man Karmacharya Department of Surgery, Kathmandu University Teaching Hospital, Dhulikhel, Kathmandu, Nepal. https://orcid.org/0000-0003-0802-6400 Satish Vaidya Department of Surgery, Kathmandu University Teaching Hospital, Dhulikhel, Kathmandu, Nepal Amit Kumar Singh Department of Surgery, Kathmandu University Teaching Hospital, Dhulikhel, Kathmandu, Nepal Sushil Dahal Department of Surgery, Kathmandu University Teaching Hospital, Dhulikhel, Kathmandu, Nepal. https://orcid.org/0000-0002-0475-7356 Prasesh Dhakal Department of Surgery, Kathmandu University Teaching Hospital, Dhulikhel, Kathmandu, Nepal. https://orcid.org/0000-0002-4516-3116 Niroj Bhandari Department of Surgery, Kathmandu University Teaching Hospital, Dhulikhel, Kathmandu, Nepal Sohail Bade Department of Surgery, Kathmandu University Teaching Hospital, Dhulikhel, Kathmandu, Nepal Prabha Shrestha Department of Surgery, Kathmandu University Teaching Hospital, Dhulikhel, Kathmandu, Nepal Pratima Thapa Department of Surgery, Kathmandu University Teaching Hospital, Dhulikhel, Kathmandu, Nepal
dc.description.abstractAbstract Introduction: Arteriovenous fistulas are a preferred choice for hemodialysis access in chronic kidney disease patients. There is increased adoption of arteriovenous fistula creation in Nepal. Our objective is to study various arteriovenous fistulas that have been created in our center. Methods: This is a descriptive cross-sectional study conducted in a tertiary care hospital including all cases of arteriovenous fistula creation from January 2018 to December 2019. We obtained the ethical clearance from the institutional review committee of Kathmandu University School of Medical sciences. Convenient sampling method was used. Detailed vascular mapping and color doppler ultrasonography was done in the bilateral upper limb as preoperative preparation and to choose a site for arteriovenous fistula creation. Data were entered into the Statistical Package for the Social Sciences version 20 for analysis. Results: Among 50 patients, the most common location was brachiobasilic 20 (40%) patients followed by brachiocephalic 18 (36%), radiocephalic 11 (22%), and arteriovenous graft between the brachial artery and axillary vein 1 (2%). The mean duration of hospital stay was 1.44 days. Three (6%) patients required re-intervention, all within 24 hours. Two (4%) patients had a failure of arteriovenous fistula requiring the creation of a new arteriovenous fistula. Conclusions: Brachiobasilic was the most common location for arteriovenous fistula creation. Reintervention was not common. Keywords: arteriovenous fistula, chronic kidney disease, Nepal
dc.identifierhttps://doi.org/10.31729/jnma.4957
dc.identifier.urihttps://hdl.handle.net/20.500.14572/7232
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.subjectarteriovenous fistula
dc.subjectchronic kidney disease
dc.subjectNepal
dc.titleStudy of Arteriovenous Fistula Cases in a Tertiary Care Hospital: A Descriptive Cross-sectional Study
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage327
oaire.citation.startPage324
relation.isJournalIssueOfPublication74e2cbf0-bc50-4360-987a-801448aaa48d
relation.isJournalIssueOfPublication.latestForDiscovery74e2cbf0-bc50-4360-987a-801448aaa48d
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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