SP599THE CHALLENGE OF VASCULAR ACCESS IN ELDERLY

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Chapter 21: Vascular Access for Hemodialysis in the Elderly

All types of hemodialysis access are potentially problematic in elderly persons. Fistulas or grafts can be difficult to initiate because of atherosclerosis and prior vascular damage and additionally pose a risk of causing distal ischemia. In patients with heart failure, the extra cardiac load of an arteriovenous shunt might raise concern. Last, in some cases, the maturity time for a fistula may...

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Vascular Access in the Elderly: Does One Size Fit All?

of year 1. Younger (70–79 years) patients were more likely to convert to a non-CVC access as compared to those ≥ 80 years old. After adjustment of several factors, this difference between the 2 age groups persisted with greatest significance in the European subpopulation. Furthermore, patients who were maintained on CVC as their primary vascular access had a higher risk of death compared to tho...

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Outcomes of Elderly Patients after Predialysis Vascular Access Creation.

Uniform vascular access guidelines for elderly patients may be inappropriate because of the competing risk of death, high rate of arteriovenous fistula (AVF) maturation failure, and poor vascular access outcomes in this population. However, the outcomes in elderly patients with advanced CKD who receive permanent vascular access before dialysis initiation are unclear. We identified a large natio...

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Comparison of Celox powder and conventional dressing on hemostasis of vascular access site in hemodialysis patients

Background: Common measures to stop bleeding can run the risk of clotting and thrombosis due to prolonged application of pressure. Topical homeostatic agents have an important role in decreasing time to hemostasis and consequently prevention of the complications.   Aim: the aim of this study was to compare Celox powder and conventional bandage on time to hemostasis in the vascular access site i...

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VASCULAR 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...

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ژورنال

عنوان ژورنال: Nephrology Dialysis Transplantation

سال: 2019

ISSN: 0931-0509,1460-2385

DOI: 10.1093/ndt/gfz103.sp599