Effective arteriovenous fistula alternative for hemodialysis access - 06/12/18
, Adam Tanious b, Victor Camba b, Christopher Albertson b, Ebonie Rogers a, Dylan Lahiff b, Talha Rashid b, John Leone a, Heidi Pearson a, James Huang a, Ambuj Kumar b, Victor Bowers aAbstract |
Background |
The use of autologous arteriovenous fistulae (AVF) for hemodialysis (HD) is the gold standard; however, for many patients at tertiary referral centers, this is not an option.
Methods |
We conducted a four year retrospective cohort study to evaluate HD access outcomes with AVF, bovine carotid artery (BCA), and polytetrafluoroethylene arteriovenous graft (PTFE).
Results |
The study contained 416 AVF, 175 BCA, and 58 PTFE, N = 649. There was statistical difference between rates of infection (AVF 3.4%, BCA 2.9%, PTFE 11.9%), P = 0.02. Maturation failed in 7.5% of AVF but in none of the BCA or PTFE (P = 0.001). Accesses were abandoned with AVF (1.9%), BCA (1.5%), and PTFE (9.5%), P = 0.01.
Conclusion |
Bovine carotid artery can be an effective alternative form of HD access with lower infection, abandonment, and failure to maturation rates when autologous arteriovenous fistula is not an option.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Lower infection rates with bovine carotid artery vs. arteriovenous fistula or PTFE. |
• | Fewer abandoned accesses with bovine carotid artery. |
• | Less failure to mature with bovine carotid artery. |
• | Bovine carotid artery is an effective alternative form of hemodialysis access. |
Keywords : Hemodialysis, Vascular access, AV fistula, Bovine carotid artery
Plan
Vol 216 - N° 6
P. 1144-1147 - décembre 2018 Retour au numéro
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