Risk Factors and Management of Hemodialysis Associated Distal Ischemia
نویسندگان
چکیده
A review of the Vascular Quality Initiative between 2011 and 2019. Hemodialysis-associated distal ischemia requiring intervention occurred in about 3% patients (970/35,236) who underwent vascular access placement, although 17% developed mild not intervention. Intervention included catheter-based approaches (41%), ligation (23%), revascularization with interval (20%), banding (13%), proximalization arterial inflow (1.5%), revision using (1.4%). The median time to hemodialysis-associated was 7 weeks. Multivariate regression demonstrated that white race, female sex, peripheral artery disease, diabetes, prosthetic grafts, upper arm access, target vein diameter greater than 4 mm were significantly associated an increased risk for ischemia. complicates cases is more likely females diabetes disease after graft placement.
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ژورنال
عنوان ژورنال: Journal of Vascular Surgery
سال: 2022
ISSN: ['1085-875X', '0741-5214', '1097-6809']
DOI: https://doi.org/10.1016/j.jvs.2022.01.007