Femoral vein transposition versus femoral loop grafts for hemodialysis: a prospective evaluation

Hazinedaroğlu, Selçuk; Tüzüner, Altan; Aylı, Deniz; Demirer, Seher; Duman, Neval; Yerdel, Mehmet Ali

doi:10.1016/j.transproceed.2003.11.031

Cited by 43 publications

(49 citation statements)

References 7 publications

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“…All except two small studies 13,14 (3%) compared outcomes according to the hemodialysis access achieved as opposed to the hemodialysis access attempted or intended, and thus, they were considered at high risk of selection bias. One study (n=32) compared a strategy based on arteriovenous access attempts with a strategy based on catheter insertion without surgical attempts in persons older than 75 years who were eligible to receive an arteriovenous access.…”

Section: Risk Of Biasmentioning

confidence: 99%

Associations between Hemodialysis Access Type and Clinical Outcomes

Ravani

Palmer

Oliver

et al. 2013

Journal of the American Society of Nephrology

640

487

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Clinical practice guidelines recommend an arteriovenous fistula as the preferred vascular access for hemodialysis, but quantitative associations between vascular access type and various clinical outcomes remain controversial. We performed a systematic review of cohort studies to evaluate the associations between type of vascular access (arteriovenous fistula, arteriovenous graft, and central venous catheter) and risk for death, infection, and major cardiovascular events. We searched MEDLINE, EMBASE, and article reference lists and extracted data describing study design, participants, vascular access type, clinical outcomes, and risk for bias. We identified 3965 citations, of which 67 (62 cohort studies comprising 586,337 participants) met our inclusion criteria. In a random effects meta-analysis, compared with persons with fistulas, those individuals using catheters had higher risks for all-cause mortality (risk ratio=1.53, 95% CI=1.41-1.67), fatal infections (2.12, 1.79-2.52), and cardiovascular events (1.38, 1.24-1.54). Similarly, compared with persons with grafts, those individuals using catheters had higher risks for mortality (1.38, 1.25-1.52), fatal infections (1.49, 1.15-1.93), and cardiovascular events (1.26, 1.11-1.43). Compared with persons with fistulas, those individuals with grafts had increased all-cause mortality (1.18, 1.09-1.27) and fatal infection (1.36, 1.17-1.58), but we did not detect a difference in the risk for cardiovascular events (1.07, 0.95-1.21). The risk for bias, especially selection bias, was high. In conclusion, persons using catheters for hemodialysis seem to have the highest risks for death, infections, and cardiovascular events compared with other vascular access types, and patients with usable fistulas have the lowest risk.

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Section: Risk Of Biasmentioning

confidence: 99%

Associations between Hemodialysis Access Type and Clinical Outcomes

Ravani

Palmer

Oliver

et al. 2013

Journal of the American Society of Nephrology

640

487

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“…These 2 access strategies were prospectively compared by Hazinedaroglu et al who reported infection rates of 35% for prosthetic and 27% for autogenous access as well as a high incidence of steal syndromee17% in the prosthetic group and 33% in the transposition group. 12 Symptomatic steal secondary to femoral access has been reported to be 7% for prosthetic grafts by Antoniou and 11% by Cull, the latter of which included a 9% total amputation rate at a mean of 14 months. There was no difference in outcomes between grafts placed in the mid-thigh and the groin.…”

Section: Discussionmentioning

confidence: 99%

Experience with Chest Wall Arteriovenous Grafts in Hemodialysis Patients

Liechty

Fisher

Davis

et al. 2015

Annals of Vascular Surgery

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“…In patients with no remaining upper limb access options, the most commonly used alternatives are a long saphenous vein loop to the femoral artery, transposition to the popliteal artery, or a loop graft at the femoral triangle. Unfortunately, long saphenous vein fistulas have low patency (8,9) and require many additional procedures, including surgical revision and dilation (4). Femoral grafts necessitating dissection of the femoral triangle have high infection rates and poor healing.…”

Section: Discussionmentioning

confidence: 99%

Asdin Original Investigation: Complex Bypasses and Fistulas for Difficult Hemodialysis Access: A Prospective, Single‐Center Experience

Chemla¹,

Morsy²,

Anderson³

et al. 2006

Seminars in Dialysis

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The purpose of this article is to describe several complex vascular access procedures and the outcomes achieved with them in 24 patients (mean age 60 years) undergoing hemodialysis in whom all other accesses had failed and neither peritoneal dialysis nor transplantation was possible. Patients underwent either a necklace bypass (n = 5), axillary loop (n = 1), contralateral internal jugular vein bypass (n = 6), femorofemoral crossover bypass (n = 1), superficial femoral vein transposition (n = 5), axillary artery to popliteal vein bypass (n = 5), or femoral artery to right atrium bypass (n = 1). All grafts implanted were 6 mm, internally reinforced prostheses made of expanded polytetrafluoroethylene (Gore-Tex Intering Vascular Graft). Postoperatively patients had bimonthly clinical examinations in which the thrill, bruit, skin, cannulation sites, and adequacy of dialysis were reviewed. A bimonthly ultrasound dilution assessment that included estimation of the graft inflow rate, recirculation rate, and cardiac output was also performed. There was one serious postoperative complication: rapid-onset severe steal syndrome that required immediate tie off of the fistula. During the median follow-up time of 22 months, three patients died of causes unrelated to their vascular access. Nineteen dilatations and 10 surgical revisions were done. Primary patency rates were 83%, 63.5%, and 63.5%, respectively, at 6 months, 1 year, and 2 years; secondary patency rates were 91%, 77%, and 77%. Complex vascular access procedures can provide patients some additional good-quality time on hemodialysis.

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Femoral vein transposition versus femoral loop grafts for hemodialysis: a prospective evaluation

Cited by 43 publications

References 7 publications

Associations between Hemodialysis Access Type and Clinical Outcomes

Associations between Hemodialysis Access Type and Clinical Outcomes

Experience with Chest Wall Arteriovenous Grafts in Hemodialysis Patients

Asdin Original Investigation: Complex Bypasses and Fistulas for Difficult Hemodialysis Access: A Prospective, Single‐Center Experience

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