Vascular Access in Elderly Patients with End-stage Renal Disease

Overview

Journal Int Urol Nephrol

Publisher Springer

Specialty Nephrology

Date 2008 Sep 17

PMID 18792799

Citations 9

Authors

Nikolaos Bessias

Kosmas I Paraskevas

Effie Tziviskou

Vassilios Andrikopoulos

Affiliations

Soon will be listed here.

Abstract

During the last few years, the number of elderly patients with end-stage renal disease (ESRD) has been increasing worldwide. Establishment of a viable vascular access is of primary importance in these patients. This review discusses the advantages and disadvantages of the available vascular access modalities [namely arteriovenous (AV) fistulae, AV grafts, and central venous catheters (CVCs)] in elderly ESRD patients. AV fistulae seem to be superior when compared with other vascular access alternatives with respect to patency, morbidity and mortality rates. On the other hand, due to the age-related advanced atherosclerosis in the elderly, higher failure rates for AV fistulae in this age group have been described. Two controversial issues, namely the higher infection and thrombosis rates in elderly ESRD patients, are also discussed. Current evidence suggests that old age should not comprise a drawback when selecting the appropriate vascular access modality (AV fistula, AV graft or CVC) for the performance of hemodialysis. The possible vascular access options in elderly ESRD patients should not be different from younger individuals.

Citing Articles

Vascular access placement and mortality in elderly incident hemodialysis patients.

Ko G, Rhee C, Obi Y, Chang T, Soohoo M, Kim T Nephrol Dial Transplant. 2018; 35(3):503-511.

PMID: 30107612 PMC: 7057539. DOI: 10.1093/ndt/gfy254.

Maintaining a viable vascular access for hemodialysis in an elderly person with diabetes: a journey to live, not just to stay alive.

Cowan D, Smith L, Chow J Clin Case Rep. 2016; 4(2):203-8.

PMID: 26862425 PMC: 4736524. DOI: 10.1002/ccr3.459.

Longer duration of catheter patency, but similar infection rates with internal jugular vein versus iliac vein tunneled cuffed hemodialysis catheters: a single-center retrospective analysis.

Wang L, Wei F, Jiang A, Chen H, Sun G, Bi X Int Urol Nephrol. 2015; 47(10):1727-34.

PMID: 26329742 DOI: 10.1007/s11255-015-1089-7.

Hospital admissions in elderly patients on chronic hemodialysis.

Sun Y, Kassam H, Adeniyi M, Martinez M, Agaba E, Onime A Int Urol Nephrol. 2011; 43(4):1229-36.

PMID: 21360163 DOI: 10.1007/s11255-011-9913-1.

Nerve conduction changes following arteriovenous fistula construction in hemodialysis patients.

Talebi M, Salari B, Ghannadan H, Kakaei F, Azar S Int Urol Nephrol. 2010; 43(3):849-53.

PMID: 20419395 DOI: 10.1007/s11255-010-9740-9.

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