Safety of arteriovenous fistulae and grafts for continuous renal replacement therapy: The Michigan experience
dc.contributor.author | Al Rifai, Anas | |
dc.contributor.author | Sukul, Nidhi | |
dc.contributor.author | Wonnacott, Robert | |
dc.contributor.author | Heung, Michael | |
dc.date.accessioned | 2018-02-05T16:28:58Z | |
dc.date.available | 2019-03-01T21:00:19Z | en |
dc.date.issued | 2018-01 | |
dc.identifier.citation | Al Rifai, Anas; Sukul, Nidhi; Wonnacott, Robert; Heung, Michael (2018). "Safety of arteriovenous fistulae and grafts for continuous renal replacement therapy: The Michigan experience." Hemodialysis International 22(1): 50-55. | |
dc.identifier.issn | 1492-7535 | |
dc.identifier.issn | 1542-4758 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/141192 | |
dc.description.abstract | Introduction: Arteriovenous fistula or graft (AVF/AVG) use is widely considered contraindicated for continuous renal replacement therapy (CRRT), yet insertion of hemodialysis (HD) catheters can carry high complication risk in critically ill end‐stage renal disease (ESRD) patients.Methods: Single‐center analysis of 48 consecutive hospitalized ESRD patients on maintenance HD who underwent CRRT using AVF/AVG from 2012 to 2013. Primary outcome was access‐related complications.Findings: Mean age was 60 years, 48% were male, and 88% required vasopressor support. Median duration of AVF/AVG use for CRRT was 4 days (range 1–34). Ten (21%) patients had access complications (5 bleeding, 5 infiltration, 1 thrombosis); 5 (10.4%) required catheter placement. Overall 31 (65%) patients survived to hospital discharge and AVF/AVG access was functional at the time of discharge in 29 (94%) patients.Discussion: In our experience, use of AVF/AVG for CRRT can be performed with a low serious complication rate and low risk of access loss, potentially avoiding catheter‐related complications. | |
dc.publisher | Wiley Periodicals, Inc. | |
dc.publisher | National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, 2015 | |
dc.subject.other | CRRT | |
dc.subject.other | arteriovenous graft | |
dc.subject.other | arteriovenous fistula | |
dc.subject.other | patient safety | |
dc.title | Safety of arteriovenous fistulae and grafts for continuous renal replacement therapy: The Michigan experience | |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | |
dc.subject.hlbsecondlevel | Oncology and Hematology | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.description.bitstreamurl | https://deepblue.lib.umich.edu/bitstream/2027.42/141192/1/hdi12550_am.pdf | |
dc.description.bitstreamurl | https://deepblue.lib.umich.edu/bitstream/2027.42/141192/2/hdi12550.pdf | |
dc.identifier.doi | 10.1111/hdi.12550 | |
dc.identifier.source | Hemodialysis International | |
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dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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