Hemodialysis vascular access in elderly patients: A comprehensive review
Teófilo Yan, Joana Gameiro, João Grilo, Rui Filipe, Ernesto Rocha
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.
Topics & Concepts
HemodialysisVascular accessMedicineLife expectancyIncidence (geometry)Arteriovenous fistulaIntensive care medicineInternal medicineSurgeryPopulationOpticsPhysicsEnvironmental healthCentral Venous Catheters and HemodialysisVascular Procedures and ComplicationsDialysis and Renal Disease Management