Early cannulation grafts for haemodialysis: An updated systematic review

The Journal of Vascular Access
Julien Al Shakarchi, Nicholas Inston

Abstract

Early cannulation grafts are specifically designed for dialysis, whereas standard expanded polytetrafluoroethylene grafts were not. There is developing collective experience and literature available to allow the assessment of outcomes of these early cannulation grafts. The aim of this review was to review the evidence for both short- and long-term outcomes of early cannulation grafts. Using standardized searches of electronic databases in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses, the primary outcomes for this study were primary and secondary patency rates for early cannulation grafts for dialysis at 12 months and beyond. Secondary outcomes were timing of first cannulation, rates of access thrombosis, steal syndrome, pseudo-aneurysm and infection. A total of 19 studies were identified and included. These were divided into different graft types. Flixene™, Avflo™, Acuseal™ and Vectra™ grafts all showed that early cannulation within 72 h is possible. Twelve-month pooled primary and secondary patency rates were 43.3% (95% confidence interval: 31.6-55.4) and 73.4% (95% confidence interval: 63-82.7) for the Flixene graft, 58.2% (95% confidence interval: 48-68.1) and 79.2% (95% confidence inter...Continue Reading

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Citations

Jun 14, 2019·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Maurizio GallieniEvi Nagler
Jun 23, 2020·The Journal of Vascular Access·Kotaro SuemitsuMasaaki Izumi
Dec 23, 2020·The Journal of Vascular Access·Paschalis Gavriilidis, Vassilios Papalois
May 19, 2021·The Journal of Vascular Access·Megumi ShimasakiAkashi Togawa
May 26, 2021·Scientific Reports·David B KingsmorePeter C Thomson

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Software Mentioned

Avflo
Vectra

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