Article
Urology & Nephrology
Chien-Ming Luo, Mu-Yang Hsieh, Chi-Hung Cheng, Chiu-Hui Chen, Min-Tsun Liao, Shao-Yuan Chuang, Chih-Cheng Wu
Summary: This study showed that frailty is associated with an increased risk of vascular access thrombosis, with frail patients facing a higher risk compared to nonfrail patients. Age, sex, body mass index, diabetes, and prior stroke were associated with the frailty phenotype.
AMERICAN JOURNAL OF KIDNEY DISEASES
(2022)
Article
Hematology
Masataka Banshodani, Hideki Kawanishi, Misaki Moriishi, Sadanori Shintaku, Shinichiro Tsuchiya
Summary: The study found no significant differences in emergency hospitalization and mortality rates for infectious diseases between peritoneal dialysis (PD) and hemodialysis (HD) patients when modality-specific infectious diseases were excluded. Serum ferritin and alkaline phosphatase levels, age, male gender, C-reactive protein, and Charlson Comorbidity Index were identified as significant predictors of infectious disease events.
BLOOD PURIFICATION
(2021)
Article
Multidisciplinary Sciences
Lee-Moay Lim, Ming-Yen Lin, Shang-Jyh Hwang, Hung-Chun Chen, Yi-Wen Chiu
Summary: The study found a negative association between eGFR slope and the timely creation of vascular access upon hemodialysis initiation. Higher eGFR upon vascular access creation and eGFR slope were significantly associated with the timely creation of vascular access.
SCIENTIFIC REPORTS
(2021)
Article
Urology & Nephrology
Kenneth J. Woodside, Kaitlyn J. Repeck, Purna Mukhopadhyay, Douglas E. Schaubel, Vahakn B. Shahinian, Rajiv Saran, Ronald L. Pisoni
Summary: This study examined the procedural burden of interventions for arteriovenous fistulas (AVFs) and arteriovenous grafts (AVGs) during their maturation and maintenance phases in hemodialysis patients in the United States. The results showed that interventions were relatively common during maturation, but AVFs had lower maintenance intervention requirements once successfully matured. Geographic variations in intervention rates for AVF were observed during both maturation and maintenance phases, warranting further investigation.
AMERICAN JOURNAL OF KIDNEY DISEASES
(2021)
Review
Medicine, General & Internal
Tanun Ngamvichchukorn, Chidchanok Ruengorn, Kajohnsak Noppakun, Kednapa Thavorn, Brian Hutton, Manish M. Sood, Greg A. Knoll, Surapon Nochaiwong
Summary: The study analyzed 26 nonrandomized studies and found that pretransplant peritoneal dialysis (PD) was associated with lower risk of overall graft failure and delayed graft function compared to pretransplant hemodialysis.
Article
Multidisciplinary Sciences
Shu-Xin Liu, Zhi-Hong Wang, Shuang Zhang, Jia Xiao, Lian-Lian You, Yu Zhang, Cui Dong, Xue-Na Wang, Zhen-Zhen Wang, Sheng-Nan Wang, Jia-Ni Song, Xiu-Nan Zhao, Xin-Yi Yan, Shu-Fan Yu, Yi-Nan Zhang
Summary: This study aimed to explore the relationship between dialysis dose and mortality in maintenance hemodialysis (MHD) patients. The findings showed that a higher dialysis dose was associated with a reduced risk of all-cause mortality, especially among MHD patients under 65 years old or with a dialysis age exceeding 60 months.
SCIENTIFIC REPORTS
(2022)
Review
Urology & Nephrology
Tushar J. Vachharajani, Jonathan J. Taliercio, Evamaria Anvari
Summary: Hemodialysis remains the most common treatment for kidney failure in the United States, with innovations in vascular access care greatly impacting practice patterns. Endovascular devices for creating arteriovenous fistulas offer a solution to barriers in initiating maintenance hemodialysis, while bioengineered grafts and drug-coated devices show promise in improving vascular access outcomes. The development of innovative techniques for managing central vein stenosis can potentially help patients with exhausted vasculature remain on hemodialysis.
AMERICAN JOURNAL OF KIDNEY DISEASES
(2021)
Article
Cardiac & Cardiovascular Systems
Mu-Yang Hsieh, Chi-Hung Cheng, Chiu-Hui Chen, Min-Tsun Liao, Chih-Ching Lin, Ten-Fang Yang, Shao-Yuan Chuang, Chih-Cheng Wu
Summary: Blood pressure variability is associated with an increased risk of vascular access thrombosis in hemodialysis patients, independent of average blood pressure, intradialytic hypotension, and comorbidities.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Urology & Nephrology
Anil K. Agarwal, Khaled Y. Boubes, Nabil F. Haddad
Summary: Home hemodialysis has become increasingly popular due to regulatory and financial issues. Proper maintenance of a functioning vascular access is crucial for home hemodialysis, but frequent cannulation can lead to an increased risk of complications. Careful training and development of better techniques are necessary to promote the growth of home hemodialysis.
ADVANCES IN CHRONIC KIDNEY DISEASE
(2021)
Article
Medicine, General & Internal
Laura Angelici, Claudia Marino, Ilaria Umbro, Maurizio Bossola, Enrico Calandrini, Luigi Tazza, Nera Agabiti, Marina Davoli
Summary: This study found that in a large Italian region, females starting chronic hemodialysis were less likely to use AVF compared to males, and those females using AVF had better 1-year survival rates. Reducing gender disparities in access to AVF is a key aspect in the management of HD patients.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Peripheral Vascular Disease
Karen Woo, Huibrie Pieters
Summary: The study revealed that patients generally viewed vascular access (VA) as intertwined with dialysis, prioritizing the latter as the primary concern while considering VA merely as a means to facilitate dialysis. Patients often relied on family and friends for support and advice, with their level of trust in physicians influencing their acceptance of VA recommendations.
JOURNAL OF VASCULAR ACCESS
(2021)
Review
Urology & Nephrology
Mariana Murea, Carl R. Grey, Charmaine E. Lok
Summary: Shared decision-making (SDM) is important in vascular access planning for hemodialysis patients but is not widely practiced. There is a need to shift from a prescriptive approach to a patient-centered care model in this field.
KIDNEY INTERNATIONAL
(2021)
Article
Multidisciplinary Sciences
Yu Soma, Masaaki Murakami, Eiji Nakatani, Yoko Sato, Satoshi Tanaka, Kiyoshi Mori, Akira Sugawara
Summary: This study evaluated the safety and effectiveness of brachial artery transposition (BAT) versus tunneled cuffed central venous catheter (tcCVC) in hemodialysis patients not suitable for arteriovenous fistula (AVF) or arteriovenous graft (AVG). The results showed that BAT had better whole access circuit patency and fewer severe complications compared to tcCVC placement.
SCIENTIFIC REPORTS
(2022)
Article
Urology & Nephrology
Bruno Legendre, Thierry Lobbedez, Cecile Couchoud, Mathilde Lassalle, Isabelle Kazes, Antoine Lanot, Annabel Boyer, Clemence Bechade
Summary: The duration of hemodialysis before transfer to peritoneal dialysis affects the outcomes and survival of patients on peritoneal dialysis.
AMERICAN JOURNAL OF NEPHROLOGY
(2022)
Letter
Medicine, General & Internal
Michael Allon, Yi Zhang, Mae Thamer, Deidra C. Crews, Timmy Lee
Summary: This cohort study examines the trends in vascular access among over 600,000 patients who started hemodialysis between 2015 and 2020 using the US Renal Data System database.