Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2
|
| pubmed:dateCreated |
1996-4-25
|
| pubmed:abstractText |
Providing adequate long-term dialysis access has become increasingly difficult. In order to evaluate the operative factors associated with early failure of dialysis access, 2337 operations performed in 1124 patients over an 8-year period were retrospectively reviewed. Evaluation of 1306 procedures that eventually failed and required operative revision or repair provided the basis for this study. Access failure occurred in 459 (41%) of the 1124 patients. An average of 2.8 episodes of failure (range 1-13) were observed among this group of patients, occurring after an average of 230 +/- 9 days (mean +/- ++standard error) postoperatively, with the longest interval to failure being 2529 days. The time-to-failure for revision of a preexistent arteriovenous fistula or prosthetic graft (140 +/- 9 days, n = 449) was significantly (P < 0.0001 ANOVA) shorter than for creation of an arteriovenous fistula (272 +/- 21 days, n = 336) or prosthetic graft (299 +/- 19 days, n = 372) at a new site. Procedures performed in octogenarians tended to fail earlier (178 days). Dialysis access failure tends to recur in patients with a history of previous access problems. The time-to-failure was similar for new prosthetic grafts and arteriovenous fistulas, but twice as long compared to revision of a previous access site.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Feb
|
| pubmed:issn |
0022-4804
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:day |
1
|
| pubmed:volume |
60
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
312-6
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:8598660-Adolescent,
pubmed-meshheading:8598660-Adult,
pubmed-meshheading:8598660-Aged,
pubmed-meshheading:8598660-Aged, 80 and over,
pubmed-meshheading:8598660-Arteriovenous Shunt, Surgical,
pubmed-meshheading:8598660-Blood Vessel Prosthesis,
pubmed-meshheading:8598660-Child,
pubmed-meshheading:8598660-Child, Preschool,
pubmed-meshheading:8598660-Female,
pubmed-meshheading:8598660-Humans,
pubmed-meshheading:8598660-Infant,
pubmed-meshheading:8598660-Male,
pubmed-meshheading:8598660-Middle Aged,
pubmed-meshheading:8598660-Renal Dialysis,
pubmed-meshheading:8598660-Reoperation,
pubmed-meshheading:8598660-Retrospective Studies,
pubmed-meshheading:8598660-Time Factors
|
| pubmed:year |
1996
|
| pubmed:articleTitle |
Failure of dialysis access: revise or replace?
|
| pubmed:affiliation |
Ralph Henry Johnson Department of Veterans Affairs Medical Center, Charleston, South Carolina 29425, USA.
|
| pubmed:publicationType |
Journal Article
|