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Vascular access registry of Serbia: a 4-year experience

  • Nephrology - Original Paper
  • Published:
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An Erratum to this article was published on 25 January 2017

Abstract

Purpose

Adequate and functional long-term vascular access (VA) is pivotal for the efficient hemodialysis (HD). It has been shown that the most reliable VA is autogenous arteriovenous fistulas (AVFs) as compared with arteriovenous grafts (AVGs) and vascular catheters (VCs). The vascular access register (VAR) has been established since 2010, and the 4-year trend of VA in Serbia is presented in this paper.

Methods

All HD centers in Serbia provided their data by fulfilling the questionnaire that included prevalent and incident HD patients on December 31, 2010–1013.

Results

AVF is the most frequent prevalent VA (89.5–93.1 %) and also the most frequent newly created VA (87–89 %) during the observational period. The number of preemptive AVF is increasing, but it is still low (7.8 % in 2010 and 14.6 % in 2013). The percentage of incident AVG is constant (~3.4 %) as well as the number of permanent VC (8.2 % in 2010 and 7.8 % in 2013). The number of incident patients who started HD with AVF is decreasing (from 37 to 27 %), and the number of urgent start with VC is on the increase (from 63 to 73 %). In almost all relevant dialysis centers, vascular access is created by surgeons. Temporal VCs are placed by anesthesiologists (all centers), nephrologists (up to 25 % of centers) and vascular surgeons (up to 20 %). VCs are located mainly in jugular vein, but the number of femoral catheters remains high (up to 69 %).

Conclusion

Although we have favorable data, the VAR is of a great importance and ensures continuous quality improvement.

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Acknowledgments

We kindly acknowledge colleagues from the Serbian HD Centers contributing to the study (in alphabetical order): Andric Branislav, Antic Miodrag, Aracki Snezana, Arsenovic Aleksandra, Berto Sabo Anika, Bogdanovic Jasmina, Cekovic Biljana, Cuckovic Cedomir, Cukic Zoran, Cveticanin Anica, Djordjevic Verica, Dudic Svetlana, Gajic Snezana, Gojakovic Biljana, Golubovic Predrag, Gucic Ljubinka, Hadzibulic Edvin, Hadzifejzovic Mersada, Hamzagic Nedim, Haviza-Lilic Branimir, Ilic Mira, Ilic Nasta, Jelacic Rosa, Kostic Mirjana, Kovacevic Miodrag, Lazarevic Tatjana, Markovic Rodoljub, Micunovic Vesna, Milenkovic Olgica, Milenkovic Radomir, Milenkovic Srboljub, Milicevic Biserka, Milicevic Olivera, Nikolic Zora, Obrenovic Slavica, Orescanin Mira, Pavlovic Stevan, Pesic Snezana, Petkovic Dobrila, Pilipovic Dragana, Prokopovic Miomir, Radovanovic Zoran, Rakic Nenad, Rangelov Vanja, Sefer Kornelija, Sibalic Simin Marija, Stefanovic Nikola, Stojanovic Dragoslav, Stojanovic Stanojevic Marina, Tirmenstajn Jankovic Biserka, Vasic Jovanovic Vesna, Vasilic Kokotovic Olivera, Vojinovic Goran, Vuckovic Dragana, Vukelic Vesna, Vukic Jasmina, Zagorac Nikola, Zec Nenad. Work on the vascular access register was promoted by the Serbian Society of Nephrology, and it could never have been carried out without their support.

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Authors and Affiliations

  1. School of Medicine, University of Belgrade, Belgrade, Serbia

    Tamara Jemcov & Nada Dimkovic

  2. Department of Nephrology, Clinical Hospital Centre Zemun, Belgrade, Serbia

    Tamara Jemcov

  3. Department of Nephrology, Clinical Hospital Centre Zvezdara, Belgrade, Serbia

    Nada Dimkovic

Authors
  1. Tamara Jemcov
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  2. Nada Dimkovic
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Correspondence to Tamara Jemcov.

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Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Informed consent was not required for the purposes of this study as it was based upon anonymous patient data and did not involve patient intervention or the use of human tissue samples.

Additional information

An erratum to this article is available at http://dx.doi.org/10.1007/s11255-017-1511-4.

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Jemcov, T., Dimkovic, N. Vascular access registry of Serbia: a 4-year experience. Int Urol Nephrol 49, 319–324 (2017). https://doi.org/10.1007/s11255-016-1378-9

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  • DOI: https://doi.org/10.1007/s11255-016-1378-9

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