Failure of dialysis access: revise or replace?

The Journal of Surgical Research
T E BrothersC T Fitts

Abstract

Providing adequate long-term dialysis access has become increasingly difficult. In order to evaluate the operative factors associated with early failure of dialysis access, 2337 operations performed in 1124 patients over an 8-year period were retrospectively reviewed. Evaluation of 1306 procedures that eventually failed and required operative revision or repair provided the basis for this study. Access failure occurred in 459 (41%) of the 1124 patients. An average of 2.8 episodes of failure (range 1-13) were observed among this group of patients, occurring after an average of 230 +/- 9 days (mean +/- ++standard error) postoperatively, with the longest interval to failure being 2529 days. The time-to-failure for revision of a preexistent arteriovenous fistula or prosthetic graft (140 +/- 9 days, n = 449) was significantly (P < 0.0001 ANOVA) shorter than for creation of an arteriovenous fistula (272 +/- 21 days, n = 336) or prosthetic graft (299 +/- 19 days, n = 372) at a new site. Procedures performed in octogenarians tended to fail earlier (178 days). Dialysis access failure tends to recur in patients with a history of previous access problems. The time-to-failure was similar for new prosthetic grafts and arteriovenous fistulas...Continue Reading

Citations

Sep 17, 2008·International Urology and Nephrology·Nikolaos BessiasVassilios Andrikopoulos
Apr 1, 1999·The British Journal of Surgery·J GolledgeH H Thompson
Dec 22, 2011·International Journal of Nephrology·M Khavanin ZadehM Porfakharan
Dec 3, 2002·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Pietro RavaniFabio Malberti
Mar 15, 2001·American Journal of Surgery·G LanniP De Rosa
Jan 10, 1998·Journal of Vascular Surgery·T C HodgesJ L Cronenwett
Aug 12, 2014·Journal of Vascular Surgery·Oded OlshaDavid Shemesh
May 25, 2001·AJR. American Journal of Roentgenology·G X ZaleskiJ Leef
Jul 25, 2003·Asian Cardiovascular & Thoracic Annals·Chiung Lun Kao, Jen Ping Chang
May 14, 2010·Animal Health Research Reviews·Wenjun Ma, Jürgen A Richt
Jul 20, 2007·The Journal of Vascular Access·C G BurtD A Mosquera
Aug 15, 2018·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Gang Jee KoKamyar Kalantar-Zadeh

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