2001
DOI: 10.1023/a:1019550307514
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Abstract: Although not taken in consideration as a special issue in current guidelines, vascular access in the elderly deserve specific recommendations as they are quickly enlarging as a group, with particularly high vascular access morbidity and failure rate. Hemodynamic and endothelial mechanisms of access failure are reviewed and tentative strategies to increase the prevalence of durable native arteriovenous fistulas are analysed.

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Cited by 10 publications
(2 citation statements)
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“…Older patient's arteries tend to be more easily calcified making them more prone to abnormal shear stress, inflammation and other endothelial dysfunction (Tesauro et al, 2017). Due to significant comorbidities in elderly patients, a vein fistula is more likely to fail due to the deteriorating condition of blood vessels (Miller et al, 1999;Ponce, 2001;Lazarides et al, 2007). The use of synthetic PTFE grafts instead of vein fistula in elderly patients and those with compromised vessels might improve primary patency rates (Staramos et al, 2000;Rooijens et al, 2005).…”
Section: Patient's Conditions: Related To Cellular and Molecular Envi...mentioning
confidence: 99%
“…Older patient's arteries tend to be more easily calcified making them more prone to abnormal shear stress, inflammation and other endothelial dysfunction (Tesauro et al, 2017). Due to significant comorbidities in elderly patients, a vein fistula is more likely to fail due to the deteriorating condition of blood vessels (Miller et al, 1999;Ponce, 2001;Lazarides et al, 2007). The use of synthetic PTFE grafts instead of vein fistula in elderly patients and those with compromised vessels might improve primary patency rates (Staramos et al, 2000;Rooijens et al, 2005).…”
Section: Patient's Conditions: Related To Cellular and Molecular Envi...mentioning
confidence: 99%
“…Older patient’s arteries tend to be more easily calcified making them more prone to abnormal shear stress, inflammation and other endothelial dysfunction ( Tesauro et al, 2017 ). Due to significant comorbidities in elderly patients, a vein fistula is more likely to fail due to the deteriorating condition of blood vessels ( Miller et al, 1999 ; Ponce, 2001 ; Lazarides et al, 2007 ). The use of synthetic PTFE grafts instead of vein fistula in elderly patients and those with compromised vessels might improve primary patency rates ( Staramos et al, 2000 ; Rooijens et al, 2005 ).…”
Section: Factors Impairing Healing or Regeneration Around Vascular Gr...mentioning
confidence: 99%