[When native arteriovenous fistula is not possible: the permanent catheter is better]
- PMID: 19382070
[When native arteriovenous fistula is not possible: the permanent catheter is better]
Abstract
Native arteriovenous fistula is still the vascular access of choice in hemodialysis. Other options are arteriovenous graft or, in patients in whom it is not possible to create a surgical vascular access, a permanent venous catheter. International guidelines on vascular access for hemodialysis recommend an increase in the percentage of arteriovenous fistulas compared to other types of vascular access. An analysis of the data relative to the distribution of the types of vascular access in different countries highlights the difficulty in following this recommendation: the only country to have increased the number of arteriovenous fistulas in recent years is the US, where the percentage of grafts has decreased while the use of permanent catheters has increased. In Italy and the rest of Europe, the number of fistulas has remained stable, there has been a constant reduction in the number of grafts and an increase in the percentage of permanent catheters. The reasons for this distribution of the types of vascular access are multifactorial and include the increased average age of patients, frequent late referrals, and increased incidence of diabetes mellitus, cardiovascular disease, obesity, etc. These factors have brought about technical difficulties for the creation of fistulas and grafts, leading to an increase in the number of catheters used. In relation to the evolution of the clinical characteristics of dialysis patients, the permanent catheter should no longer be considered a last-choice vascular access: in selected patients, it can be a better choice than a surgical fistula or graft.
Comment in
-
[When the native arterial-venous fistula cannot be performed: graft or catheter? A comment].G Ital Nefrol. 2009 Mar-Apr;26(2):158-60. G Ital Nefrol. 2009. PMID: 19382071 Italian.
Comment on
-
[Graft or CVC? A prosthetic graft is the better choice].G Ital Nefrol. 2009 Mar-Apr;26(2):148-53. G Ital Nefrol. 2009. PMID: 19382069 Italian.
Similar articles
-
Do central venous catheters have advantages over arteriovenous fistulas or grafts?J Nephrol. 2006 May-Jun;19(3):265-79. J Nephrol. 2006. PMID: 16874685 Review.
-
[Vascular access validity and treatment efficiency in hemodialysis].G Ital Nefrol. 2003 May-Jun;20 Suppl 22:S22-9. G Ital Nefrol. 2003. PMID: 12851917 Review. Italian.
-
[Vascular access for dialysis in elderly: AVF versus permanent CVC].G Ital Nefrol. 2008 Nov-Dec;25(6):614-8. G Ital Nefrol. 2008. PMID: 19048553 Italian.
-
Ethical and legal obligation to avoid long-term tunneled catheter access.Clin J Am Soc Nephrol. 2009 Feb;4(2):456-60. doi: 10.2215/CJN.03840808. Epub 2009 Jan 21. Clin J Am Soc Nephrol. 2009. PMID: 19158368 Review.
-
[Vascular access in the elderly: AVF vs CVC. A comment].G Ital Nefrol. 2008 Nov-Dec;25(6):625-7. G Ital Nefrol. 2008. PMID: 19048555 Italian.
Cited by
-
Complications of arteriovenous fistula in dialysis patients: Incidence and risk factors in Taif city, KSA.J Family Med Prim Care. 2020 Jan 28;9(1):407-411. doi: 10.4103/jfmpc.jfmpc_848_19. eCollection 2020 Jan. J Family Med Prim Care. 2020. PMID: 32110627 Free PMC article.
-
Comparison of Complications of Arteriovenous Fistula with Permanent Catheter in Hemodialysis Patients: A Six-month Follow-up.Adv Biomed Res. 2017 Aug 28;6:106. doi: 10.4103/2277-9175.213666. eCollection 2017. Adv Biomed Res. 2017. PMID: 28904934 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Medical