Hemodialysis vascular access: The Achilles' heel remains
نویسندگان
چکیده
منابع مشابه
Vascular access vulnerability in intensive hemodialysis: a significant Achilles' heel?
BACKGROUND Frequent hemodialysis (HD) may be associated with an increased risk of vascular access complications. Studies addressing vascular access outcomes in frequent HD show conflicting results. METHODS We searched Medline for trials looking at vascular access outcomes in frequent HD. RESULTS Nineteen studies met the inclusion criteria; only studies with a control group were included for...
متن کاملTackling the Achilles' heel of hemodialysis.
More than 375,000 patients undergo long-term hemodialysis treatment in the United States, but the outcomes have remained abysmal, with the rate of death during the first year of hemodialysis therapy exceeding 20%. Although the development half a century ago of techniques for sustainable vascular access rendered long-term extracorporeal treatment feasible, vascular access remains the Achilles’ h...
متن کاملACHILLES and the Achilles Heel of Peripheral Vascular Intervention.
SEE PAGE 259 I n contrast to coronary artery disease in which a robust collection of data has demonstrated the merits of percutaneous revascularization, research investigating peripheral vascular intervention (PVI) has not yet matured in terms of magnitude, quality, or clarity. For example, only 1 randomized trial has assessed the efficacy of PVI relative to surgical bypass in patients with cri...
متن کاملVASCULAR ACCESS FOR HEMODIALYSIS: OUR EXPERIENCE WITH 3337 CASES
Over a seven year period from 1982 to 1989,3337 conduits were created in 3137 patients with end stage renal disease (ESRD) as access for chronic dialysis. These included 2690 side-to-side arteriovenous fistulae (A VF), 168 end-to-side A VFs, 10 autogenous vein grafts, 51 homogenous frozen vein grafts, 109 polytetrafluoroethylene (PTFE) grafts, 209 emergency external arteriovenous shunts, t...
متن کاملHemodialysis Vascular Access Dysfunction
A successful functioning vascular access is the “lifeline” for a hemodialysis patient. Hemodialysis vascular access dysfunction is a major cause of morbidity and mortality in hemodialysis patients1-3. Improving vascular access outcomes remains an ongoing challenge for nephrologists, vascular access surgeons, and interventionists. In arteriovenous fistulas (AVF) and grafts (AVG), the most common...
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ژورنال
عنوان ژورنال: Kidney International
سال: 2007
ISSN: 0085-2538
DOI: 10.1038/sj.ki.5002470