Hemodialysis vascular access in elderly patients: A comprehensive review.

Q3 Medicine

JAVA - Journal of the Association for Vascular Access Pub Date : 2024-01-01 Epub Date: 2022-05-12 DOI:10.1177/11297298221097233

Teófilo Yan, Joana Gameiro, João Grilo, Rui Filipe, Ernesto Rocha

引用次数: 0

Abstract

The number of elderly patients initiating hemodialysis (HD) increased considerably over the past decade. Arteriovenous fistulas (AVFs) are the preferred vascular access (VA) type in most HD patients. Choice of VA for older hemodialysis patients presents a challenge. The higher incidence of comorbidities, longer AVF maturation times, risk of primary failure, risk of patency loss, and shorter life expectancy are important factors to consider. In this review we provide a comprehensive analysis on maturation rates, primary failure, patency, and mortality regarding vascular access in patients older than 75 years of age.

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老年患者的血液透析血管通路：全面回顾。

在过去十年中，开始血液透析（HD）的老年患者人数大幅增加。动静脉瘘（AVF）是大多数血液透析患者首选的血管通路（VA）类型。为老年血液透析患者选择血管通路是一项挑战。合并症发生率较高、AVF 成熟时间较长、初次失败风险、通畅损失风险以及预期寿命较短都是需要考虑的重要因素。在这篇综述中，我们全面分析了 75 岁以上患者血管通路的成熟率、初次失败率、通畅率和死亡率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JAVA - Journal of the Association for Vascular Access Medicine-Medicine (miscellaneous)

CiteScore

1.10

自引率

0.00%

发文量

期刊介绍： The Association for Vascular Access (AVA) is an association of healthcare professionals founded in 1985 to promote the emerging vascular access specialty. Today, its multidisciplinary membership advances research, professional and public education to shape practice and enhance patient outcomes, and partners with the device manufacturing community to bring about evidence-based innovations in vascular access.