Autogenous radial-cephalic or prosthetic brachial-antecubital forearm loop AVF in patients with compromised vessels? A randomized, multicenter study of the patency of primary hemodialysis access

Rooijens, P.P.G.M.; Burgmans, J. P. J.; Yo, T.I.; Hop, W. C. J.; Smet, A.A.E.A. de; Dorpel, Marinus A. van den; Fritschy, Wilbert M.; Groot, Hans G.W. de; Burger, H.; Tordoir, Jan H.M.

doi:10.1016/j.jvs.2005.05.025

Cited by 127 publications

(107 citation statements)

References 25 publications

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“…As mentioned, the K/DOQI recommendations on which the FFI was based rely on outdated data. More recently, in the only randomized trial of AVF versus grafts, grafts were found to have better patency (33). The number of angioplasties required to achieve patency were equivalent in both groups, and the number of surgical revisions were fewer in grafts (33).…”

Section: Impact On the Patient: The Patient Is Firstmentioning

confidence: 99%

“…More recently, in the only randomized trial of AVF versus grafts, grafts were found to have better patency (33). The number of angioplasties required to achieve patency were equivalent in both groups, and the number of surgical revisions were fewer in grafts (33). Recent studies have also found that when thrombosed, grafts are more successfully treated with radiologic intervention with a 63% 6-mo postinterventional patency rate compared with 22% in AVF (79,80).…”

Section: Impact On the Patient: The Patient Is Firstmentioning

confidence: 99%

See 1 more Smart Citation

Fistula First Initiative

Lok¹

2007

Clinical Journal of the American Society of Nephrology

268

231

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Section: Impact On the Patient: The Patient Is Firstmentioning

confidence: 99%

Section: Impact On the Patient: The Patient Is Firstmentioning

confidence: 99%

Fistula First Initiative

Lok¹

2007

Clinical Journal of the American Society of Nephrology

268

231

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“…Moreover, fistulas have high primary failure (PF) rates (6), and failure to mature will increasingly challenge vascular access teams in meeting the K/DOQI goals (7). In patients with compromised forearm vessels, graft patency has been shown to be better than AVF patency (8); therefore, a renewed analysis of native vascular access patency rates is justified.…”

mentioning

confidence: 99%

Hemodialysis Arteriovenous Fistula Patency Revisited

Huijbregts

Bots²,

Wittens³

et al. 2008

Clinical Journal of the American Society of Nephrology

315

239

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Background and objectives: Vascular access standards are predominantly based on older, single-center reports; however, the hemodialysis population has changed dramatically and primary arteriovenous fistula failure is a huge problem. This prospective, multicenter study used standardized definitions to analyze patency rates and potential risk factors that affect functional patency and late arteriovenous fistula functionality.Design, setting, participants, & measurements: Eleven centers participated in a guidelines implementation program. All new permanent vascular accesses were included. Patency and functional patency, defined as access survival from creation and from first dialysis use, respectively, were calculated using Kaplan-Meier analysis. Risk factors for primary functional patency loss (intervention-free interval) and secondary failure (abandonment) were determined using regression models.Results: A total of 491 arteriovenous fistulas were placed in 395 patients. Six-, 12-, and 18-mo secondary patency and functional patency were 75 ؎ 2.0, 70 ؎ 2.3, and 67 ؎ 2.7% and 90 ؎ 1.9, 88 ؎ 2.2, and 86 ؎ 2.7%, respectively. Primary failure rate was 40%. Thrombosis rate was 0.14 per patient-year. Diabetes and arteriovenous fistula surveillance were significantly associated with primary functional patency loss. Preoperative duplex was inversely related to secondary failure. The secondary failure rate per hospital varied from 0 to 39%.Conclusions: This study showed a marked difference between patency and functional patency, likely to be explained by high primary failure rates. Hemodialysis patients with diabetes can be expected to have reduced primary functional patency rates, but if treated adequately, then arteriovenous fistula functionality can be maintained as long as in patients without diabetes.

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“…Average hospitalization period of our patients was estimated between 3 and 8 days. [3][4][5] This technique is less invasive than trans-sternal and transhepatic methods. Since not to encounter with post-operative serious complications in our patients, this method make us think it is more safety and reliable method than others.…”

Section: Discussionmentioning

confidence: 99%

“…Enabling a high volume blood flow, rapid undergoing dialysis after procedure, feeling pain after used, enabling long-term vascular access can be considered as advantages of these catheters. 4 We placed indwelling catheters into the right atrium of 16 patients who were out of vascular access for hemodialysis by right mini thoracotomy, which is a minimal invasive technique. We aimed to present this rare technique.…”

Section: Introductionmentioning

confidence: 99%

Indwelling hemodialysis catheterization by transthoracic way

et al. 2015

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Chronic kidney failure can be described as a chronic and progressive disfunction in metabolicendocrine function and in adjustment of fluid-electrolyte balance of kidney, as a result of reducing of glomerular filtration value. Besides being a medical issue, chronic kidney failure affects social, economic, and psychological conditions of patients. Indwelling catheters can be placed in the right atrium by right mini thoracotomy in kidney patients who depend on dialysis and all central veins are used. In the patients whose central veins were used, were able to do catheterization by this technique, and this is a procedure that must be retentioned.

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Autogenous radial-cephalic or prosthetic brachial-antecubital forearm loop AVF in patients with compromised vessels? A randomized, multicenter study of the patency of primary hemodialysis access

Abstract: Although there were more interventions needed for access salvage in the patients with prosthetic graft implants, we may conclude that patients with poor forearm vessels do benefit from implantation of a prosthetic graft for vascular access.

Cited by 127 publications

References 25 publications

Fistula First Initiative

Fistula First Initiative

Hemodialysis Arteriovenous Fistula Patency Revisited

Indwelling hemodialysis catheterization by transthoracic way

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