Influence of Vascular Access Type on Sex and Ethnicity-Related Mortality in Hemodialysis-Dependent Patients

Woo, Karen; Yao, Janis F.; Selevan, David; Hye, Robert J.

doi:10.7812/tpp/12-005

Cited by 7 publications

(3 citation statements)

References 30 publications

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“…However, previous studies indicated that patients with TCC as long-term vascular access route had a higher patient mortality rate than patients with AVF or AVG. [7,8] A previous study reported by Shi et al [6] showed that the median survival time of patients who first used TCC was 56.3 months, which was similar to that of the patients in the present study. Therefore, placing the tip of the catheter in the IVC might not increase the incidence of death.…”

supporting

confidence: 89%

“…These data suggested that TCC with the catheter tip in the IVC is feasible for long-term vascular access for hemodialysis. However, previous studies indicated that patients with TCC as long-term vascular access route had a higher patient mortality rate than patients with AVF or AVG [7,8] . A previous study reported by Shi et al [6] showed that the median survival time of patients who first used TCC was 56.3 months, which was similar to that of the patients in the present study.…”

supporting

confidence: 86%

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Catheter failure and mortality in hemodialysis patients with the tunneled-cuffed catheter tip positioned in the inferior vena cava

Cheng

Ren

et al. 2022

Chinese Medical Journal

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To the Editor: Permanent vascular access is a lifesustaining measure for hemodialysis-dependent patients. Generally, tunneled cuffed catheters (TCCs) are regarded as a bridge access to arteriovenous fistula (AVF) or arteriovenous graft (AVG), and the guidelines discourage TCCs from being the first choice of permanent vascular access because of the higher risk of complications and shorter expected service life. [1] However, notably, a subset (<10%) of hemodialysis patients require permanent access through a TCC because they have exhausted other arteriovenous access options. [2] Lu Cheng and Qian Ren contributed equally to this paper.

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supporting

confidence: 89%

supporting

confidence: 86%

Catheter failure and mortality in hemodialysis patients with the tunneled-cuffed catheter tip positioned in the inferior vena cava

Cheng

Ren

et al. 2022

Chinese Medical Journal

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“…Permanent CVCs are widely accepted as the last option for vascular access because of high rates of infection and risk of mortality relative to surgical AVF. 4,6,7 Removal of CVCs also has broader health care cost implications. A recent study of Medicare patients reported that the cost of remaining on a CVC was 3 to 4 times greater than receiving dialysis through a patent AVF.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Creation of Arteriovenous Fistulae for Hemodialysis Access with a 4 Fr Device: Clinical Experience from the EASE Study

Berland

Clement

Griffin

et al. 2019

Annals of Vascular Surgery

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Background: The use of arteriovenous fistula (AVF) is hampered by long surgical wait times, slow maturation, and upwards of 60% that do not mature. We describe our clinical experience in using a system with a 4F catheter profile for endovascular AVF creation in patients on hemodialysis. Methods: This was a multioperator, single-center, single-arm, prospective study intended to evaluate safety and efficacy of a 4 Fr endovascular AVF (endoAVF) system for the creation of vascular access in hemodialysis patients. The study was performed after institutional review board approval at Italian Hospital (Asuncion, Paraguay). Patients were followed up at regular intervals through 6 months to determine procedural, maturation, and cannulation success as well as intervention rate and patency. Results: From May to November 2016, 32 patients underwent the endoAVF procedure with no device-related adverse events. An endoAVF was successfully created in the proximal forearm for all 32 patients (20 between the radial artery and radial vein; 12 between the ulnar artery and ulnar vein). Wrist access was used for 72% (23/32) of the procedures for the arterial catheter and 59% (19/32) of the procedures for the venous catheter. The device successfully created an endoAVF in every patient for a technical success rate of 100% (32/32). The device-or procedure-related serious adverse event rate was 3% (1/32); one patient experienced a venous guidewire perforation successfully managed with a stent graft. Primary and cumulative patency rates through 6 months were 83% and 87%, respectively, with an intervention rate of 0.21 per patient-year. Physiological suitability, as defined by target flow rates 500 ml/min and cannulation vessel diameters 4 mm, was achieved in 91% (29/32) of patients by 90 days. Successful 2-needle cannulation was achieved in 78% (21/27) by 90 days, with mean time to cannulation of 43 ± 14 days. Functional cannulation, as defined by successful 2-needle cannulation for two-thirds of the dialysis sessions within 1 month, was achieved in 95% (20/21) of the patients Interim 3-month analysis was presented as the 10th International Congress of Vascular Access Society.

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Effect of Race and Insurance Status on Outcomes after Vascular Access Placement for Hemodialysis

Siracuse

Gill

Epelboym

et al. 2014

Annals of Vascular Surgery

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Influence of Vascular Access Type on Sex and Ethnicity-Related Mortality in Hemodialysis-Dependent Patients

Cited by 7 publications

References 30 publications

Catheter failure and mortality in hemodialysis patients with the tunneled-cuffed catheter tip positioned in the inferior vena cava

Catheter failure and mortality in hemodialysis patients with the tunneled-cuffed catheter tip positioned in the inferior vena cava

Endovascular Creation of Arteriovenous Fistulae for Hemodialysis Access with a 4 Fr Device: Clinical Experience from the EASE Study

Effect of Race and Insurance Status on Outcomes after Vascular Access Placement for Hemodialysis

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