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Master Thesis

Mise en place d'un protocole de surveillance des abords vasculaires d'hémodialyse selon un niveau de risque défini dans une structure d'autodialyse

Abstract : Introduction: The international guidelines propose for the greater part the implementation of a systematic vascular accesses surveillance protocol in hemodialysis with preemptive repair of stenosis. The objective of our work is to study the impact of a surveillance protocol on thrombosis according to a predefined risk and to compare it with the previous year. Methods: 159 patients were included and classify according to their histories in 3 levels of risk. All the patients had a surveillance by doppler ultrasound or Transonic®: the high risk groupe had one of them every 3months, the moderate risk group every 6months and le the low risk group every year. After an angioplasty, a doppler ultrasound was realized at 1 et 3 months. It was possible to do a doppler ultrasound apart from those programmed. Results: During 2013, 0,07 thrombosis / patient / year were noted. This rate was lower than in 2012 which was 0,08 thrombosis / patient / year. The groupe at high risk, at moderate risk and at low risk had respectively a rate of 0,15 thrombosis / patient / year , 0,085 thrombosis/patient/year and 0,02 thrombosis/patient/year. Angioplasty were in 31% of the cases consecutive to a doppler ultrasound post angioplasty and in 25% of the cases after a doppler ultrasound apart those programmed. 10% of angioplasty were because of systematic surveillance. Discussion: The implementation of a systematic surveillance protocol according to a level of risk decrease the number of thrombosis on chronic hemodialysis patients.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01252540
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Thursday, January 7, 2016 - 4:34:42 PM
Last modification on : Wednesday, August 23, 2017 - 4:30:38 PM
Long-term archiving on: : Friday, April 8, 2016 - 1:32:42 PM

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Julien Gayon. Mise en place d'un protocole de surveillance des abords vasculaires d'hémodialyse selon un niveau de risque défini dans une structure d'autodialyse. Médecine humaine et pathologie. 2015. ⟨dumas-01252540⟩

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