...Minoru Murakami; Naohiko Fujii; Eiichiro Kanda; Kan Kikuchi; Atsushi Wada; Takayuki Hamano; Ikuto Masakane Introduction: Vascular access usage varies widely across countries. Previous studies have evaluated the association of clinical outcomes with the three types of vascular access, namely...

...Robert J. Nordyke; Heidi Reichert; Lauren C. Bylsma; Jenny J. Jackson; Shawn M. Gage; Jon Fryzek; Prabir Roy-Chaudhury; Theodore Lithgow Introduction: Hemodialysis (HD) in end-stage renal disease (ESRD) patients requires vascular access (VA) through an arteriovenous fistula (AVF), a prosthetic...

..., if their fistula is not yet usable. The clinical consequences of the delay in fistula use have not been quantified in such patients. We compared patients with pre-ESRD fistula surgery who initiated dialysis with a catheter versus a fistula in terms of the frequency of post-dialysis vascular access procedures...

...Lauren C. Bylsma; Heidi Reichert; Shawn M. Gage; Prabir Roy-Chaudhury; Robert J. Nordyke; Jon Fryzek; Shannon L.M. Dahl; Theodore Lithgow; Jeffrey H. Lawson Background: Chronic hemodialysis requires a mode of vascular access through an arteriovenous fistula (AVF), a prosthetic arteriovenous graft...

... hemodialysis between January 1, 2004 and December 31, 2014 using the US Renal Data System. Multivariable logistic regression models -adjusted for pre-dialysis health were used to test the associations between gender and race on type of vascular access (AV access vs. CVC, and AV fistula vs. AV graft...

... to in the content or advertisements. Elderly Treatment patterns International cohort Hemodialysis Vascular access All-cause mortality Predialysis care Hemodialysis initiation Providing optimal care to patients suffering from chronic kidney disease is challenging, more so in the elderly...

... of unnecessary AVF creation was revealed among Japanese patients who received AVF at CKD stage 5. These results may help clarify the natural history of unnecessary AVF creation for other countries reformatting their guidelines regarding late vascular access creation. During 1,281 person-months of follow-up...

... and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements. End-stage renal disease Vascular access Quality improvement In the United States, 80% of patients start...

...Hyo Jin Kim; Hajeong Lee; Dong Ki Kim; Kook-Hwan Oh; Yon Su Kim; Curie Ahn; Jin Suk Han; Seung-Kee Min; Sang-Il Min; Hyo-Cheol Kim; Kwon Wook Joo Background: Vascular access (VA) is essential for hemodialysis (HD) patients, and its dysfunction is a major complication. However, little is known about...

...Timmy Lee; Mae Thamer; Qian Zhang; Yi Zhang; Michael Allon Background: Elderly patients with cardiovascular comorbidities are more likely to die before progressing to the need for undergoing hemodialysis; so deferring their predialysis vascular access (VA) surgery has been suggested. However...

... (AVF) less ideal than arteriovenous graft (AVG) or catheter for vascular access (VA) in hemodialysis (HD). Methods: A total of 946 adult incident HD patients from clinical research center registry for end-stage renal disease prospective cohort in South Korea were analyzed for outcomes with AVF and AVG...

... Ultrasonography Vascular access The functionality of a vascular access is necessary for successful long-term conventional hemodialysis treatment [ 1 ]. According to clinical data and guidelines, the choice of arteriovenous graft (AVG) using expanded polytetrafluoroethylene (PTFE) takes place after...

... the Medical Evidence Report. Results: Patients aged ≥67 years who initiated hemodialysis with a fistula (n = 14,459) differed demographically and clinically from patients who initiated with other vascular access types; however, 55% had diabetes, 28% heart failure, and 40% ischemic heart disease. In the year...

...Craig A. Solid; Caroline Carlin Background/Aims: Arteriovenous fistulas (AVFs) appear to be clinically superior to catheters as vascular access for maintenance hemodialysis, but higher insertion costs and high disease burden and mortality obscure the issue of whether AVF placement before...

.... Adequacy of care Chronic kidney disease Vascular access National Institutes of Health (NIH) 10.13039/100000002 An arteriovenous fistula (AVF) is the preferred hemodialysis vascular access due to its association with superior health outcomes [ 1,2,3 ]. AVFs have longer patency...

...Onyekachi Ifudu; Joan D. Mayers; Linda S. Cohen; Henry Paul; William F. Brezsnyak; Morrell M. Avram; Allen I. Herman; Eli A. Friedman Four hundred and thirty randomly selected hemodialysis patients, aged 20 years and over, were studied to identifiy risk factors for vascular access and nonvascular...

..., comorbidity Hematocrit Hemodialysis patients, employment status Hospitalization, dialysis patients Infections, dialysis patients Karnofsky scale, modified Long-term hemodialysis patients, functional status Serum albumin Serum creatinine Vascular access 22 08 1994 29 12 1994 28 10...

... identify the malfunctioning vascular access. When these indicators are used for referral for fistulogram, venous stenosis can be identified and corrected before graft thrombosis. Not only can preemptive repair of the vascular access prevent thrombosis, it also allows for more efficient dialysis delivery...

... is a sporadic and infrequent event, a patient-specific investigation should be undertaken. In either circumstance, a clear understanding of the principles and practical aspects of hemodialysis greatly assists the nephrologist as a sleuth. Hemodialysis Dialyzer Vascular access Adequacy Delivery...

...Vladimir Tuka; Marcela Slavikova; Zdislava Kasalova; Jan Malik Background/Aims: The feeding artery of dialysis vascular access is subjected to unusually high wall shear stress (WSS), a hemodynamic factor leading to vasodilatation, for at least several months after access creation. Physiologically...