ArticleAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2011
Arteriovenous graft placement in predialysis patients: a potential catheter-sparing strategy.
Article in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 20 citations in OpenAlex.
- Role of multimodality imaging pre-access for planning of surgical creation of arteriovenous fistulas and arteriovenous grafts in the chronic kidney disease and end-stage renal disease population.The international journal of cardiovascular imaging · 2026Review
- Guidelines on vascular access for hemodialysis from the Brazilian Society of Angiology and Vascular Surgery.Jornal vascular brasileiro · 2023Review
- Strategies to counteract adverse remodeling of vascular graft: A 3D view of current graft innovations.Frontiers in bioengineering and biotechnology · 2022Review
- Shared decision-making in hemodialysis vascular access practice.Kidney international · 2021Review
- Article
- Fistula First Initiative: Historical Impact on Vascular Access Practice Patterns and Influence on Future Vascular Access Care.Cardiovascular engineering and technology · 2017Article
- Arteriovenous Grafts: Much Maligned But in Need of Reconsideration?Seminars in dialysis · 2017Review
- Outcomes of Elderly Patients after Predialysis Vascular Access Creation.Journal of the American Society of Nephrology : JASN · 2015Article
- Fistula first is not always the best strategy for the elderly.Journal of the American Society of Nephrology : JASN · 2013Article
- Cumulative patency of contemporary fistulas versus grafts (2000-2010).Clinical journal of the American Society of Nephrology : CJASN · 2013Article
- Hemodialysis access usage patterns in the incident dialysis year and associated catheter-related complications.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2013Article
- Optimizing renal replacement therapy in older adults: a framework for making individualized decisions.Kidney international · 2012Review
- Optimal hemodialysis vascular access in the elderly patient.Seminars in dialysisReview
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundWhen predialysis patients are deemed unsuitable candidates for an arteriovenous fistula, current guidelines recommend waiting until just before or after initiation of dialysis therapy before placing a graft. This strategy may increase catheter use when these patients start dialysis therapy. We compared the outcomes of patients whose grafts were placed before and after dialysis therapy initiation. STUDY
designRetrospective analysis of a prospective computerized vascular access database. SETTING &
participantsPatients with chronic kidney disease receiving their first arteriovenous graft (n = 248) at a large medical center. PREDICTOR: Timing of graft placement (before or after initiation of dialysis therapy). OUTCOME & MEASUREMENTS: Primary graft failure, cumulative graft survival, catheter dependence, and catheter-related bacteremia.
resultsThe first graft was placed predialysis in 62 patients and postdialysis in 186 patients. Primary graft failure was similar for pre- and postdialysis grafts (20% vs 24%; P = 0.5). Median cumulative graft survival was similar for pre- and postdialysis grafts (365 vs 414 days; HR, 1.22; 95% CI, 0.81-1.98; P = 0.3). Median duration of catheter dependence after graft placement in the postdialysis group was 48 days and was associated with 0.63 (95% CI, 0.48-0.79) episodes of catheter-related bacteremia per patient. LIMITATIONS: Retrospective analysis, single medical center.
conclusionGrafts placed predialysis have primary failure rates and cumulative survival similar to those placed after starting dialysis therapy. However, postdialysis graft placement is associated with prolonged catheter dependence and frequent bacteremia. Predialysis graft placement may decrease catheter dependence and bacteremia in selected patients.
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