Vascular Access, Complications and Survival in Incident Hemodialysis Patients
| Autor: | Simone Accarino, Giuseppe Sileno, Ettore Pasquinucci, Ciro Esposito, Vittoria Esposito, Massimo Torreggiani, Lucia Bernasconi, Marco Colucci |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
congenital
hereditary and neonatal diseases and abnormalities medicine.medical_specialty medicine.medical_treatment Population Vascular access central venous catheter Arteriovenous fistula survival End stage renal disease medicine cardiovascular diseases arteriovenous fistula education end stage renal disease Dialysis education.field_of_study business.industry Incidence (epidemiology) chronic patients equipment and supplies medicine.disease Surgery dialysis Hemodialysis business Central venous catheter |
| Zdroj: | Kidney and Dialysis Volume 1 Issue 2 Pages 13-99 |
| ISSN: | 2673-8236 |
| DOI: | 10.3390/kidneydial1020013 |
| Popis: | The arteriovenous fistula (AVF) has long been considered the optimal vascular access. However, the evolving characteristics of the ageing dialysis population limit the creation of an AVF in all patients. Thus, more patients start hemodialysis (HD) with a central venous catheter (CVC) rather than an AVF, and the supremacy of the AVF has recently been questioned. The aim of this study was to analyze the incidence and rate of access complications in 100 patients between 2010 and 2015. A total of 63 patients started HD with an AVF, while 37 began HD with a CVC. We found no differences in patient survival according to the vascular access in use at the beginning of dialysis, but patients were more likely to die while undergoing dialysis by means of a CVC than an AVF. Patients started on dialysis with a CVC had more cardiovascular disease, while patients who began dialysis with an AVF presented more hypertension. Fistulas presented a longer survival time despite more hospital admissions, but CVCs bore a higher risk of infections. Our results suggest that starting dialysis with a CVC does not confer a greater risk of death. |
| Databáze: | OpenAIRE |
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