Trends in the development of vascular access surgery in the Republic of Tatarstan
A.V. MAKSIMOV1,2, A.K. FEYSKHANOV1, E.Sh. MAKARIMOV1, N.R. ZAKIRZHANOV2, L.I. FEYSKHANOVA3
1Republican Clinical Hospital of Ministry of Health of the Republic of Tatarstan, 138 Orenburgskiy Trakt, Kazan, Russian Federation 420064
2Kazan State Medical Academy, 11 Butlerova St., Kazan, Russian Federation 420012
3Kazan State Medical University, 11 Butlerova St., Kazan, Russian Federation 420012
Maksimov A.V. — PhD (Medicine), Head of the Vascular Surgery Department, tel. 8-927-243-42-93, e-mail: maks.av@mail.ru1,2
Feyskhanov A.K. — cardio-vascular surgeon of the Vascular Surgery Department № 1, tel. +7-987-296-06-42, e-mail: aygizf@rambler.ru1
Makarimov E.Sh. — surgeon of the Endovascular Diagnosis and Treatment Department, tel. +7-917-887-01-01, e-mail: makarim@inbox.ru1
Zakirzhanov N.R. — surgeon of the Cardiology, Endovascular and Cardiovascular Surgery Department, tel. +7-960-037-21-1022
Feyskhanova L.I. — PhD (Medicine), Assistant Lecturer of the Hospital Therapy Department, tel. +7-917-275-21-66, e-mail: ljuts@rambler.ru3
Retrospective analysis of 2181 reconstructive operations on the formation and maintenance of permanent vascular access in the Republic of Tatarstan in the period from 2008 to 2013 was performed. With the growing number of patients on programmed hemodialysis, there is 148.5% increase of the operations performed on the formation and reconstruction of vascular access. The number of primary distal native arteriovenous fistula remains at the same level, and the growth is due to the increase in the number of proximal native fistulas and the rate of reconstructive plastic surgery. Taking the carried out analysis into consideration, we can predict an increase in the role of reconstructive angiosurgery in patients with terminal renal failure in Russia in the coming years.
Key words: vascular access, arteriovenous fistula, hemodialysis.
REFERENCES
1. Ermolenko V.M. Khronicheskiy gemodializ [Chronic hemodialysis]. Moscow: Meditsina, 1982. 280 p.
2. Bikbov B.T., Tomilina N.A. State replacement therapy in patients with chronic renal failure in the Russian Federation in 1998-2009. Nefrologiya i dializ, 2011, no. 13 (3), pp. 150-264 (in Russ.).
3. Trends in ESRD epidemiology and Vascular Access. Angio Access for Hemodialysis, Tours, France, 2010, June. R. 14-16.
4. Klinicheskie prakticheskie rekomendatsii po sosudistomu dostupu NKF-DOQI, per. s angl. S.V. Lashutin, redaktor N.A. Tomilina [Clinical Practice Guidelines for vascular access NKF-DOQI. Transl. from English by S.V. Lashutin, translation editor N.A. Tomilina]. Tver: Gubernskaya meditsina, 2000. 192 p.