Cost analysis of the Hemodialysis Reliable Outflow (HeRO) Graft compared to the tunneled dialysis catheter Julien Al Shakarchi, MBChB, MSc, MRCS, Nicholas.

Slides:

Advertisements

Similar presentations

Hemodialysis arteriovenous fistula as first option not necessary in elderly patients Jie Cui, MD, David Steele, MD, Julia Wenger, MPH, Tatsuo Kawai, MD,

Advertisements

Early use conversion of the HeRO dialysis graft

Arteriovenous grafts are associated with earlier catheter removal and fewer catheter days in the United States Renal Data System population Andrew E.

The associations of hemodialysis access type and access satisfaction with health- related quality of life Natalie Domenick Sridharan, MD, MSc, Larry Fish,

Retroesophageal internal jugular-to-internal jugular vein bypass for venous occlusion in a patient with complex hemodialysis access Mei Nortley, BSc,

Locoregional anesthesia for endovascular aneurysm repair

Proximal radial artery arteriovenous fistula for hemodialysis vascular access William C. Jennings, MD, Alexandros Mallios, MD, Nasir Mushtaq, PhD, MBBS,

Comparison of vein valve function following pharmacomechanical thrombolysis versus simple catheter-directed thrombolysis for iliofemoral deep vein thrombosis

Safety and efficacy of femoral-based hemodialysis access grafts

Arteriovenous fistula outcomes in the elderly

Popliteal entrapment syndrome

Thomas W. Kendall, MD, David L. Cull, MD, Christopher G

Outcome of infra-inguinal bypass grafts using vein conduit with less than 3 millimeters diameter in critical leg ischemia Hani Slim, MD, MRCS, Alok Tiwari,

Locoregional anesthesia for endovascular aneurysm repair

A percutaneous arterial closure protocol can decrease complications after endovascular interventions in vascular surgery patients Philip P. Goodney,

Howard E. Katzman, MD, Robert B. McLafferty, MD, John R

Vascular access in hemodialysis patients older than 80 years

Early infection risk with primary versus staged Hemodialysis Reliable Outflow (HeRO) graft implantation Andrew S. Griffin, MD, Shawn M. Gage, PA-C, Jeffrey.

Open bypass and endovascular procedures among diabetic foot ulcer cases in the United States from 2001 to 2010 Grant H. Skrepnek, PhD, David G. Armstrong,

Initial clinical experience with a polytetrafluoroethylene vascular dialysis graft reinforced with nitinol at the venous end Filippo Benedetto, MD, PhD,

Fifteen years of infrapopliteal arterial reconstructions with cryopreserved venous allografts for limb salvage Caren Randon, MD, Bart Jacobs, MD, Frederik.

Ung Bae Jeon, MD, Chang Won Kim, MD, Sung Woon Chung, MD

Duplex ultrasound surveillance after carotid artery endarterectomy

Andy R. Weale, MRCS, Paul Bevis, MRCS, William D

A new technique to explant an infected aortic endograft

Brachial versus basilic vein dialysis fistulas: A comparison of maturation and patency rates Kevin Casey, MD, Britt H. Tonnessen, MD, Krishna Mannava,

Comparative outcomes of primary autogenous fistulas in elderly, multiethnic Asian hemodialysis patients Claude J. Renaud, MRCP (UK), FAMS, Jackie Ho.

The first operation on the profunda femoris artery

Arteriovenous grafts are associated with earlier catheter removal and fewer catheter days in the United States Renal Data System population Andrew E.

Prosthetic lower extremity hemodialysis access grafts have satisfactory patency despite a high incidence of infection Irma L. Geenen, MD, Lydia Nyilas,

The end-to-end anastomosis of John B. Murphy

Depression is associated with worse patency and recurrent leg symptoms after lower extremity revascularization Gregory S. Cherr, MD, Jiping Wang, MD,

Split-thickness skin grafting the high-risk diabetic foot

A comparison of patency and interventions in thigh versus Hemodialysis Reliable Outflow grafts for chronic hemodialysis vascular access Evan R. Brownie,

Equivalent secondary patency rates of upper extremity Vectra Vascular Access Grafts and transposed brachial-basilic fistulas with aggressive access surveillance.

Endoscopic basilic vein transposition for hemodialysis access

Early use conversion of the HeRO dialysis graft

The BASIL survival prediction model in patients with peripheral arterial disease undergoing revascularization in a university hospital setting and comparison.

SS14. Outcomes Comparison of Chest Wall Arteriovenous Grafts and Lower Extremity Arteriovenous Grafts in Patients With Long-Standing Renal Failure Jie.

Comparison of the impact of open and endovascular abdominal aortic aneurysm repair on renal function Athanasios Saratzis, MBBS, MRCS, PhD, Pantelis Sarafidis,

Anthony S. Leicht, PhD, Robert G

Arteriovenous fistula outcomes in the elderly

Long-term outcome after early infrainguinal graft failure

Long-term outcomes of primary angioplasty and primary stenting of central venous stenosis in hemodialysis patients Andrew M. Bakken, MD, Clinton D. Protack,

A comparison of the outcomes of one-stage and two-stage brachiobasilic arteriovenous fistulas Georgios Vrakas, MD, MSc, Fatima Defigueiredo, Sam Turner,

Mingzheng Aaron Goh, MBChB, AFHEA, MRCS, Jason M

Patient compliance limits the efforts of quality improvement initiatives on arteriovenous fistula maturation Susanna K. Lynch, BS, Sadaf S. Ahanchi,

Todd R. Vogel, MD, MPH, Robin L. Kruse, PhD

Mycotic aneurysm of the superior and inferior mesenteric artery

Prevention of vascular access hand ischemia using the axillary artery as inflow William Jennings, MD, Robert Brown, MD, John Blebea, MD, MBA, Kevin Taubman,

David L. Dawson, MD, Jennifer Meyer, RCIS, Eugene S

The influence of metabolic syndrome on hemodialysis access patency

Regarding “Vascular abnormalities in patients with neurofibromatosis syndrome type I: Clinical spectrum, management, and results” John B. Chang, MD,

M. Chris Pastor, MD, MSc, David Kopriva, MDCM, FRCS(C)

James E. Edwards, MD, Lloyd M. Taylor, MD, John M. Porter, MD

Preliminary results of the initial United States experience with the Supera woven nitinol stent in the popliteal artery Luis R. León, MD, RVT, Robert.

Ivan D. Maya, Michael Allon Kidney International

Ioannis Prionidis, MD, Tom F. Browne Journal of Vascular Surgery

Basilic vein transposition versus biosynthetic prosthesis as vascular access for hemodialysis Massimo Morosetti, MD, Silvia Cipriani, MD, Sara Dominijanni,

Bhagwan Satiani, MD, MBA, Thomas E. Williams, MD, PhD, Michael R

Robert J. Hinchliffe, MD, MRCS, Janet T

Pediatric isolated bilateral iliac aneurysm

Emily Spangler, Robert W. Chang, Philip P. Goodney

Infected endovascular aneurysm repair graft complicated by vertebral osteomyelitis Christopher Lowe, MRCS, Anthony Chan, MRCS, Neil Wilde, FRCR, Simon.

Patients started on hemodialysis with tunneled dialysis catheter have similar survival after arteriovenous fistula and arteriovenous graft creation Theodore.

Association of clinical attributes and treadmill walking performance in patients with claudication due to peripheral artery disease Eric P. Brass, MD,

Proximal vein thrombosis secondary to hemodialysis catheterization complicated by arteriovenous fistula Joseph J. Piotrowski, M.D., Robert B. Rutherford,

Experience with covered stents for the management of hemodialysis polytetrafluoroethylene graft seromas Nicholas J. Gargiulo, MD, Frank J. Veith, MD,

Uei Pua, MBBS, MMed, FRCR Journal of Vascular Surgery

Modified use of the Hemodialysis Reliable Outflow (HeRO) graft for salvage of threatened dialysis access Bassan J. Allan, MD, Angela T. Prescott, MD,

Presentation transcript:

Cost analysis of the Hemodialysis Reliable Outflow (HeRO) Graft compared to the tunneled dialysis catheter Julien Al Shakarchi, MBChB, MSc, MRCS, Nicholas Inston, MBChB, PhD, FRCS, Robert G. Jones, MBChB, MRCP, FRCR, Grant Maclaine, BMedSc, MBBS, MEc, MA, David Hollinworth, PhD, MBA Journal of Vascular Surgery Volume 63, Issue 4, Pages 1026-1033 (April 2016) DOI: 10.1016/j.jvs.2015.10.089 Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 1 The Hemodialysis Reliable Outflow (HeRO) Graft anastomosed to the brachial artery and inserted via the right internal jugular vein into the right atrium. Journal of Vascular Surgery 2016 63, 1026-1033DOI: (10.1016/j.jvs.2015.10.089) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 2 Transitions in the decision analysis model (only two full patient pathways of four complete model cycles are illustrated in this figure). Journal of Vascular Surgery 2016 63, 1026-1033DOI: (10.1016/j.jvs.2015.10.089) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 3 Number of device patency failures for the index Hemodialysis Reliable Outflow (HeRO) Graft plus replacement tunneled dialysis catheter (TDC) and index TDC. Note that following patency failure in 40.6% of index HeRO Graft implantations, a secondary placement procedure with a TDC device was carried out. Therefore, the clinical consequences experienced by the HeRO Graft cohort include TDC-related consequences (shown in red). Journal of Vascular Surgery 2016 63, 1026-1033DOI: (10.1016/j.jvs.2015.10.089) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 4 Number of device-related thrombosis procedures for index Hero Graft plus replacement tunneled dialysis catheter (TDC) and index TDC. Note that following patency failure in 40.6% of index Hemodialysis Reliable Outflow (HeRO) Graft implantations, a secondary placement procedure with a TDC device was carried out. Therefore, the clinical consequences experienced by the HeRO Graft cohort include TDC-related consequences (shown in red). Journal of Vascular Surgery 2016 63, 1026-1033DOI: (10.1016/j.jvs.2015.10.089) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 5 Number of access-related infections for the index Hemodialysis Reliable Outflow (HeRO) Graft plus replacement tunneled dialysis catheter (TDC) and index TDC. Note that following patency failure in 40.6% of the index HeRO Graft implantations, a secondary placement procedure with a TDC device was carried out. Therefore, the clinical consequences experienced by the HeRO Graft cohort include TDC-related consequences (shown in red). Journal of Vascular Surgery 2016 63, 1026-1033DOI: (10.1016/j.jvs.2015.10.089) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 6 Base case 1-year total cost per patient (£) for tunneled dialysis catheter (TDC) and Hemodialysis Reliable Outflow (HeRO) Graft. Journal of Vascular Surgery 2016 63, 1026-1033DOI: (10.1016/j.jvs.2015.10.089) Copyright © 2016 Society for Vascular Surgery Terms and Conditions